Individual
MARJORIE RUTH GRAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAILCODE L471, PORTLAND, OR 97239-3011
(503) 494-8276
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE L471, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
MD21657
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227308
—
OR
Enumeration date
07/31/2006
Last updated
07/13/2007
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