Howard M Graitzer, D.O.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

DO18678 Issued in OR

Practice address

6808 SE 28TH Ave
Portland, OR 97202-8705

Phone

(503) 957-8620

Fax

(888) 939-4463

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1215953724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972028705",
            "telephone_number": "503-957-8620",
            "fax_number": "888-939-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972028705",
            "telephone_number": "503-957-8620",
            "fax_number": "888-939-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAITZER",
        "first_name": "HOWARD",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "DO18678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134120",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Gabriel Graham, PSS, CRM
• Vanessa Graham, MSW
• Wendy Graham
• Carla Graichen
• Grain Integrative Health, LLC
• Stacey Gramann, D.O.
• Zacharia A Grami, MD
• Mary E Gramling, PT
• Donna Gramont, PT, MOMT
• Ravyn Granados, RN, BSN

• Geriatric Medicine (Family Medicine) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Geriatric Medicine (Family Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.