Sophonie Graham
Case Manager/Care Coordinator in Portland, OR. Individual provider (NPI-1).
NPI number1164032173
StatusActive
Last updated in NPPESAug 4, 2020
Details
- NPI
- 1164032173
- Entity type
- Individual (NPI-1)
- Name
- Sophonie Graham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2020
- Certification date
- Aug 4, 2020
- Last updated
- Aug 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
14600 Nw Cornell RdPortland, OR 97229-5442
Phone 503-645-3581
Mailing address
14600 Nw Cornell RdPortland, OR 97229-5442
Phone 503-645-3581
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