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NPI Code Detail

MEDICARE: SHARON V TRAMMELL

MEDICARE: SHARON V TRAMMELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1649889882
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON V TRAMMELL
Provider Business Mailing Address
First Line : 44420 CAMP MORRISON DR
Second Line :
City : SCIO
State : OR
Zip : 97374-9336
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5408 NE 29TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97211-6244
Country : US
Telephone Number : 971-236-0915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2020
Last Update Date : 11/16/2021

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Directions to “ SHARON V TRAMMELL ” Practice Location

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