Individual
DR. BARBARA ANN GRAHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12672 NW BARNES RD, SUITE #100, PORTLAND, OR 97229-6016
(503) 644-7434
(503) 350-1754
Mailing address
10912 NW LUSANNE CT, PORTLAND, OR 97229-6172
(503) 671-9333
(503) 626-8366
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
12/01/2005
Last updated
07/08/2007
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