Provider Demographics
NPI:1447048244
Name:CRAMER, ROBERT DAVID (SUDPT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DAVID
Last Name:CRAMER
Suffix:
Gender:
Credentials:SUDPT
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:DAVID
Other - Last Name:CRAMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SUDPT
Mailing Address - Street 1:318 2ND AVENUE EXT S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2604
Mailing Address - Country:US
Mailing Address - Phone:253-394-3442
Mailing Address - Fax:
Practice Address - Street 1:902 PINE ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1403
Practice Address - Country:US
Practice Address - Phone:425-610-2075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61634838101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)