Provider Demographics
NPI:1922216779
Name:RAMSAY, MISTY ANN (LMT)
Entity Type:Individual
Prefix:
First Name:MISTY
Middle Name:ANN
Last Name:RAMSAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 EDGEWATER ST NW
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-4711
Mailing Address - Country:US
Mailing Address - Phone:503-580-3961
Mailing Address - Fax:
Practice Address - Street 1:1661 EDGEWATER ST NW
Practice Address - Street 2:SUITE 120
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-4711
Practice Address - Country:US
Practice Address - Phone:503-580-3961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7393174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist