Provider Demographics
NPI:1356584734
Name:CRAMPTON, MICHAEL ADAM (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ADAM
Last Name:CRAMPTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 NW HILL ST
Mailing Address - Street 2:STE B
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-2970
Mailing Address - Country:US
Mailing Address - Phone:541-385-7688
Mailing Address - Fax:541-385-7689
Practice Address - Street 1:598 NW HILL ST
Practice Address - Street 2:STE B
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-2970
Practice Address - Country:US
Practice Address - Phone:541-385-7688
Practice Address - Fax:541-385-7689
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3881111N00000X
WACH60047062111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR148446Medicare PIN