Provider Demographics
NPI:1396313177
Name:RAMOS, OSCAR (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:OSCAR
Other - Middle Name:
Other - Last Name:RAMOS GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1290 23RD ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-1531
Mailing Address - Country:US
Mailing Address - Phone:503-966-2382
Mailing Address - Fax:503-386-3301
Practice Address - Street 1:1290 23RD ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1531
Practice Address - Country:US
Practice Address - Phone:503-966-2382
Practice Address - Fax:503-386-3301
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201242581RN163W00000X
OR202102654NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty