# TERESA ROLEEN GRAHAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336201235
- **Authorized official:** TERESA ROLEEN GRAHAM MD (OWNER)
- **Authorized official phone:** (541) 883-1998

## Contact information

- **Practice address:** 1000 PINE ST, KLAMATH FALLS, OR 97601
- **Practice address phone:** (541) 883-1998
- **Practice address fax:** (541) 850-5226
- **Mailing address:** 1000 PINE ST, KLAMATH FALLS, OR 97601
- **Mailing address phone:** (541) 883-1998
- **Mailing address fax:** (541) 850-5226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 12/11/2012