# BARBARA A GRAHAM MD PC

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

## Provider details

- **NPI number:** 1487821443
- **Authorized official:** BARBARA A GRAHAM MD (PRESIDENT)
- **Authorized official phone:** (503) 644-7434

## Contact information

- **Practice address:** 12672 NW BARNES RD, SUITE 100, PORTLAND, OR 97229-6191
- **Practice address phone:** (503) 671-9333
- **Mailing address:** 12672 NW BARNES RD, SUITE 100, PORTLAND, OR 97229
- **Mailing address phone:** (503) 671-9333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD 15611 | OR | Yes |

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 05/09/2008