Individual
DAVID G INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD168376
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500697475
—
OR
Enumeration date
09/27/2005
Last updated
01/22/2022
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