Marsha Lee Graham, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LO339 Issued in OR

Practice address

4225 SW Huber St Ste 400
Portland, OR 97219-6140

Phone

(503) 380-1131

Fax

(503) 213-6226

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1215944715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 SW HUBER ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196140",
            "telephone_number": "503-380-1131",
            "fax_number": "503-213-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 SW HUBER ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196140",
            "telephone_number": "503-380-1131",
            "fax_number": "503-213-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MARSHA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "LO339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Graham
• Katherine Marie Graham, D.M.D.
• Lacey Graham
• Marissa Graham
• Marlene Graham, LCSW
• Morgan Sunny Graham
• Nancy Graham, R.D.
• Patrick James Graham, DNP, AGACNP-BC
• Rachel Graham
• Robert Francis Graham, DPT

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.