| Charles S. Graham, D.o., P.c. | |
|
620 S J St Lakeview OR 97630-1680 | |
| (541) 947-2331 | |
| (541) 947-4854 |
| Full Name | Charles S. Graham, D.o., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 620 S J St, Lakeview, Oregon |
| Authorized Official Name and Position | Charles Scott Graham (PRESIDENT) |
| Authorized Official Contact | 5419472331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles S. Graham, D.o., P.c. 620 S J St Lakeview OR 97630-1680 Ph: (541) 947-2331 | Charles S. Graham, D.o., P.c. 620 S J St Lakeview OR 97630-1680 Ph: (541) 947-2331 |
| NPI Number | 1093839888 |
|---|---|
| Provider Enumeration Date | 03/18/2007 |
| Last Update Date | 01/07/2020 |
| Medicare PECOS PAC ID | 6305949058 |
|---|---|
| Medicare Enrollment ID | O20070316000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093839888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO21658 (Oregon) | Primary |
Mae Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 N 1st St, Lakeview, OR 97630 Phone: 541-600-2535 | |
Lake County Public Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N D St Ste 100, Lakeview, OR 97630 Phone: 541-947-2114 Fax: 541-947-2433 | |
Lake Health District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 South J St, Lakeview, OR 97630 Phone: 541-947-2114 | |
Lake County Medical Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 624 S J St, Lakeview, OR 97630 Phone: 541-947-3366 Fax: 541-947-4404 |