Organization
TERESA ROLEEN GRAHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ROLEEN GRAHAM MD (OWNER)
(541) 883-1998
Entity
Organization
Contact information
Practice address
1000 PINE ST, KLAMATH FALLS, OR 97601
(541) 883-1998
(541) 850-5226
Mailing address
1000 PINE ST, KLAMATH FALLS, OR 97601
(541) 883-1998
(541) 850-5226
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
12/11/2012
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