MEDICARE: DR. ANDREW BENJAMIN CRAMER M.D.

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
1	208600000X	Surgery Physician	MD15391	OR
2	2086S0129X	Vascular Surgery Physician	MD15391	OR
3	208C00000X	Colon & Rectal Surgery Physician	MD15391	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	020023304	OTHER	OR	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790760387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW BENJAMIN CRAMER M.D.

Provider Business Mailing Address
First Line	:	541 NE 20TH AVE STE 225
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2895
Country	:	US
Telephone Number	:	503-963-2801
Fax Number	:	503-963-2825

Provider Business Practice Location Address
First Line	:	19250 SW 65TH AVE STE 235
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-7745
Country	:	US
Telephone Number	:	503-692-5650
Fax Number	:	503-692-7903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	12/16/2025

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Directions to “ DR. ANDREW BENJAMIN CRAMER M.D.” Practice Location

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