Organization
KATHERINE M GRAHAM DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE M GRAHAM D.M.D. (PRESIDENT)
(503) 644-9915
Entity
Organization
Contact information
Practice address
12672 NW BARNES RD, SUITE 101, PORTLAND, OR 97229-6191
(503) 644-9915
(503) 350-1275
Mailing address
12672 NW BARNES RD, SUITE 101, PORTLAND, OR 97229-6191
(503) 644-9915
(503) 350-1275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6791
OR
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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