Healthcare Provider Details

I. General information

NPI: 1437523776
Provider Name (Legal Business Name): AP CRAMER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2015
Last Update Date: 11/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 TERRY AVE N SUITE 100
SEATTLE WA
98109-5206
US

IV. Provider business mailing address

225 TERRY AVE N SUITE 100
SEATTLE WA
98109-5206
US

V. Phone/Fax

Practice location:
  • Phone: 206-622-2999
  • Fax: 206-622-9012
Mailing address:
  • Phone: 206-622-2999
  • Fax: 206-622-9012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA M NAGEL
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 360-701-2002