Provider Demographics
NPI:1992683908
Name:BRAMAN, ISABELLE ROSE (CRM I)
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:ROSE
Last Name:BRAMAN
Suffix:
Gender:F
Credentials:CRM I
Other - Prefix:
Other - First Name:IZZY
Other - Middle Name:R
Other - Last Name:BRAMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1805 NE SANDY BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2884
Mailing Address - Country:US
Mailing Address - Phone:503-966-3644
Mailing Address - Fax:503-961-1419
Practice Address - Street 1:1805 NE SANDY BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2884
Practice Address - Country:US
Practice Address - Phone:503-966-3644
Practice Address - Fax:503-961-1419
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
OR25-CRM-4350175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)