Provider Demographics
NPI:1184924599
Name:TRAM, NANCY Q (RPH)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:Q
Last Name:TRAM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 SE TUALATIN VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-7935
Mailing Address - Country:US
Mailing Address - Phone:503-681-0262
Mailing Address - Fax:503-681-0264
Practice Address - Street 1:2525 SE TUALATIN VALLEY HWY
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-7935
Practice Address - Country:US
Practice Address - Phone:503-681-0262
Practice Address - Fax:503-681-0264
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR9982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist