Provider Demographics
NPI:1760493696
Name:RAMAN-CAPLAN, PADMA S
Entity Type:Individual
Prefix:DR
First Name:PADMA
Middle Name:S
Last Name:RAMAN-CAPLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PADMA
Other - Middle Name:S
Other - Last Name:RAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:3473 SW BARBUR BLVD
Mailing Address - Street 2:9
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-6506
Mailing Address - Country:US
Mailing Address - Phone:503-460-7295
Mailing Address - Fax:
Practice Address - Street 1:4004 SW KELLY AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4389
Practice Address - Country:US
Practice Address - Phone:503-455-7766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1487175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath