Individual
HOWARD M GRAITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6808 SE 28TH AVE, PORTLAND, OR 97202-8705
(503) 957-8620
(888) 939-4463
Mailing address
6808 SE 28TH AVE, PORTLAND, OR 97202-8705
(503) 957-8620
(888) 939-4453
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
DO18678
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134120
—
OR
Enumeration date
07/15/2006
Last updated
12/04/2013
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