Provider Demographics
NPI:1437041720
Name:DAM, TRAM (MSN, RN, IBCLC)
Entity type:Individual
Prefix:MS
First Name:TRAM
Middle Name:
Last Name:DAM
Suffix:
Gender:F
Credentials:MSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 CHETWOOD ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1461
Mailing Address - Country:US
Mailing Address - Phone:510-384-9516
Mailing Address - Fax:
Practice Address - Street 1:541 CHETWOOD ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1461
Practice Address - Country:US
Practice Address - Phone:510-384-9516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95039419163W00000X
CAL-318863163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse