| Barbara A Graham Md Pc | |
|
12672 Nw Barnes Rd Suite 100 Portland OR 97229-6191 | |
| (503) 671-9333 | |
| Not Available |
| Full Name | Barbara A Graham Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12672 Nw Barnes Rd, Portland, Oregon |
| Authorized Official Name and Position | Barbara A Graham (PRESIDENT) |
| Authorized Official Contact | 5036447434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara A Graham Md Pc 12672 Nw Barnes Rd Suite 100 Portland OR 97229 Ph: (503) 671-9333 | Barbara A Graham Md Pc 12672 Nw Barnes Rd Suite 100 Portland OR 97229-6191 Ph: (503) 671-9333 |
| NPI Number | 1487821443 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487821443 | NPI | - | NPPES |
| 017181 | Medicaid | OR | |
| K1059-01 | Other | OR | PACIFICSOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD 15611 (Oregon) | Primary |
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