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Individual

CHRISTIAN GRAULTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD224964
OR

Other

Enumeration date
03/11/2020
Last updated
07/28/2025
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