Basic Information
Provider Information
NPI: 1285627620
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMEY
FirstName: BRENDEN
MiddleName: B
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 849 PACIFIC AVE
Address2:  
City: HOOD RIVER
State: OR
PostalCode: 970311956
CountryCode: US
TelephoneNumber: 5413866380
FaxNumber: 5413861078
Practice Location
Address1: 425 E 7TH ST
Address2:  
City: THE DALLES
State: OR
PostalCode: 970582607
CountryCode: US
TelephoneNumber: 5412964610
FaxNumber: 5412965813
Other Information
ProviderEnumerationDate: 08/30/2005
LastUpdateDate: 02/26/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD25561ORY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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