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Individual

DR. CRAIG D. GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
845 SW 30TH ST, CORVALLIS, OR 97331-8629
(541) 768-7700
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD19833
OR
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD19833
OR

Other

Enumeration date
06/11/2006
Last updated
03/02/2022
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