# C. SCOTT GRAHAM, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charles S. Graham, D.O., P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093839888
- **Authorized official:** DR. CHARLES SCOTT GRAHAM D.O. (PRESIDENT)
- **Authorized official phone:** (541) 947-2331

## Contact information

- **Practice address:** 620 S J ST, LAKEVIEW, OR 97630-1680
- **Practice address phone:** (541) 947-2331
- **Practice address fax:** (541) 947-4854
- **Mailing address:** 620 S J ST, LAKEVIEW, OR 97630-1680
- **Mailing address phone:** (541) 947-2331
- **Mailing address fax:** (541) 947-4854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO21658 | OR | Yes |

## Other

- **Enumeration date:** 03/18/2007
- **Last updated:** 01/07/2020