Individual
DR. GRAEME N FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7735
(503) 494-4264
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7735
(503) 494-4264
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD28447
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036536100
—
DC
05
—
1730139114
—
DE
01
—
611900-01
BLUE CROSS/BLUE SHIELD
MD
05
—
977002000
—
MD
Enumeration date
05/10/2006
Last updated
03/13/2020
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