Barbara a Graham MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 15611 Issued in OR

Legal business name

BARBARA A GRAHAM MD PC

Practice address

12672 NW Barnes Rd
Suite 100
Portland, OR 97229-6191

Phone

(503) 671-9333

NPI assigned

May 9, 2008

Last updated

May 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara A Graham, MDNPI 1861476020

Title

President

Phone

(503) 644-7434

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Ann Graham, MD

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1861476020
  NPD (past) Authorized official

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1487821443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12672 NW BARNES RD",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229",
            "telephone_number": "503-671-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12672 NW BARNES RD",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296191",
            "telephone_number": "503-671-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA A GRAHAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-644-7434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD 15611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE",
            "identifier": "K1059-01",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017181",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramon Francisco Barajas Jr., M.D.
• Youval Barak, DC
• Lily Baraka
• Abeytax Barana, LPCA
• Merilee J Barba, LPC, LMFT
• Barbara G. Isaacs, PH.D.,PC
• Renee Alexandre Barbara, RDH
• Jennifer Marie Barbay
• Elissa Barbee, LPC, CADC-I, NCC
• Linda A Barbee, PT

• Internal Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.