Provider Demographics
NPI:1386445971
Name:CRAMER, TRACY
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:CRAMER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:WHITE SALMON
Mailing Address - State:WA
Mailing Address - Zip Code:98672-0159
Mailing Address - Country:US
Mailing Address - Phone:509-250-0824
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 159
Practice Address - Street 2:
Practice Address - City:WHITE SALMON
Practice Address - State:WA
Practice Address - Zip Code:98672-0159
Practice Address - Country:US
Practice Address - Phone:509-250-0824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker