Dr. Brent A. Graham, MD
Anesthesiology in Portland, OR. Individual provider (NPI-1).
NPI number1528035474
StatusActive
Last updated in NPPESDec 14, 2023
Details
- NPI
- 1528035474
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brent A. Graham
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2006
- Certification date
- Dec 14, 2023
- Last updated
- Dec 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | MD21539 | OR | Yes |
Practice location
9841 Nw Ash StPortland, OR 97229-6281
Phone 503-201-1120
Mailing address
9841 Nw Ash StPortland, OR 97229-6281
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