Provider Demographics
NPI:1891700563
Name:KRAMER, DAWNA J (MD)
Entity Type:Individual
Prefix:
First Name:DAWNA
Middle Name:J
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 9TH AVE
Mailing Address - Street 2:MS:M4-PA
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2756
Practice Address - Country:US
Practice Address - Phone:206-223-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000217382085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
300041917OtherRAILROAD MEDICARE
WA1015833Medicaid
WA805687700OtherIDAHO MEDICAID
WAKR4229OtherBLUE SHIELD
WAMD836WAOtherALASKA MEDICAID
WA0039587OtherLABOR & INDUSTRY
WAUS0778585OtherAETNA/USHC SPECIALIST
300041917OtherRAILROAD MEDICARE
WA1015833Medicaid
WA8907770Medicare PIN