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Individual

GRAHAM JOHN DEKEYSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6400
(503) 494-5050
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6400
(503) 494-5050

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
MD210541
OR
207XX0801X
Orthopaedic Trauma Physician
MD61139102
WA

Other

Enumeration date
03/22/2016
Last updated
07/06/2022
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