Provider Demographics
NPI:1487978250
Name:DR ADAM P CRAMER P C
Entity type:Organization
Organization Name:DR ADAM P CRAMER P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-357-4500
Mailing Address - Street 1:1502 BISHOP RD SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7354
Mailing Address - Country:US
Mailing Address - Phone:360-357-4500
Mailing Address - Fax:360-357-6170
Practice Address - Street 1:1502 BISHOP RD SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-7354
Practice Address - Country:US
Practice Address - Phone:360-357-4500
Practice Address - Fax:360-357-6170
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR ADAM P CRAMER P C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-22
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA10599261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6713360001Medicare PIN