Provider Demographics
NPI:1841779576
Name:TRAMELLI, OLIVIA (DPT)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:TRAMELLI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 NE BAKER ST STE 140
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4907
Mailing Address - Country:US
Mailing Address - Phone:503-472-0848
Mailing Address - Fax:503-472-1653
Practice Address - Street 1:609 NE BAKER ST STE 140
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4907
Practice Address - Country:US
Practice Address - Phone:503-472-0848
Practice Address - Fax:503-472-1653
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPT60882943OtherPHYSICAL THERAPY LICENSE