Provider Demographics
NPI:1033502919
Name:RAMOS, CHRISTOPHER THOMAS (MS, PMHMP)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MS, PMHMP
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Mailing Address - Street 1:6033 NORTHILL LOOP SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512-2034
Mailing Address - Country:US
Mailing Address - Phone:360-358-2853
Mailing Address - Fax:
Practice Address - Street 1:2011 MOTTMAN RD SW BLDG 34-216
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-6218
Practice Address - Country:US
Practice Address - Phone:360-358-2853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI8490-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI8490-33OtherSTATE OF WISCONSIN