Individual
DR. SUSAN E GRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P-3-CARD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, P-3-CARD, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00025938
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD16498
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069190
—
OR
Enumeration date
06/27/2006
Last updated
07/10/2007
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