Provider Demographics
NPI:1962659110
Name:KRAMER, ROBIN MARLA (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:MARLA
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 SW BEAVERTON - HILLSDLE. HWY.
Mailing Address - Street 2:BLDG 3, SUITE 610 PARK PLAZA WEST
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005
Mailing Address - Country:US
Mailing Address - Phone:503-643-9578
Mailing Address - Fax:
Practice Address - Street 1:10700 SW BEAVERTON - HILLSDLE. HWY.
Practice Address - Street 2:BLDG 3, SUITE 610 PARK PLAZA WEST
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005
Practice Address - Country:US
Practice Address - Phone:503-643-9578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0133106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist