Organization
BARBARA A GRAHAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A GRAHAM MD (PRESIDENT)
(503) 644-7434
Entity
Organization
Contact information
Practice address
12672 NW BARNES RD, SUITE 100, PORTLAND, OR 97229-6191
(503) 671-9333
Mailing address
12672 NW BARNES RD, SUITE 100, PORTLAND, OR 97229
(503) 671-9333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 15611
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017181
—
OR
01
—
K1059-01
PACIFICSOURCE
OR
Enumeration date
05/09/2008
Last updated
05/09/2008
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