Healthcare Provider Details

I. General information

NPI: 1598694796
Provider Name (Legal Business Name): CURTIS DEAN KRAMER CHW/CNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3760 UPPER ROAD
GRANTS PASS OR
97526
US

IV. Provider business mailing address

560 NE F ST STE A PMB 519
GRANTS PASS OR
97526
US

V. Phone/Fax

Practice location:
  • Phone: 541-507-7837
  • Fax:
Mailing address:
  • Phone: 541-507-7837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number1785
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: