Healthcare Provider Details

I. General information

NPI: 1144897760
Provider Name (Legal Business Name): DANIELLA KRAMER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 NE 3RD ST STE 106
BEND OR
97701-3889
US

IV. Provider business mailing address

1900 NE 3RD ST SUITE 106 #3034
BEND OR
97701
US

V. Phone/Fax

Practice location:
  • Phone: 503-290-6549
  • Fax:
Mailing address:
  • Phone: 503-290-6549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC8907
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: