| Katherine M Graham Dmd Pc | |
|
12672 Nw Barnes Rd Suite 101 Portland OR 97229-6191 | |
| (503) 644-9915 | |
| (503) 350-1275 |
| Full Name | Katherine M Graham Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12672 Nw Barnes Rd, Portland, Oregon |
| Authorized Official Name and Position | Katherine M Graham (PRESIDENT) |
| Authorized Official Contact | 5036449915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine M Graham Dmd Pc 12672 Nw Barnes Rd Suite 101 Portland OR 97229-6191 Ph: (503) 644-9915 | Katherine M Graham Dmd Pc 12672 Nw Barnes Rd Suite 101 Portland OR 97229-6191 Ph: (503) 644-9915 |
| NPI Number | 1184086647 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184086647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D6791 (Oregon) | Primary |
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