Organization
HOWARD M GRAITZER DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD M GRAITZER D.O. (OWNER)
(503) 872-3283
Entity
Organization
Contact information
Practice address
6040 SE BELMONT ST, PORTLAND, OR 97215-1974
(503) 872-3283
(866) 950-4463
Mailing address
PO BOX 66500, PORTLAND, OR 97290-6500
(360) 254-3663
(866) 950-4463
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
DO18678
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134120
—
OR
Enumeration date
07/17/2006
Last updated
06/20/2012
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