Provider Demographics
NPI:1144011768
Name:RAMIREZ, PAUL (RN)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 HONER LOOP
Mailing Address - Street 2:
Mailing Address - City:CRESWELL
Mailing Address - State:OR
Mailing Address - Zip Code:97426-9899
Mailing Address - Country:US
Mailing Address - Phone:541-953-5137
Mailing Address - Fax:
Practice Address - Street 1:76 HONER LOOP
Practice Address - Street 2:
Practice Address - City:CRESWELL
Practice Address - State:OR
Practice Address - Zip Code:97426-9899
Practice Address - Country:US
Practice Address - Phone:541-953-5137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR095000710RN163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health