Organization Active NPI

Howard M Graitzer DO

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, OR
National Provider Identifier
1881611549
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
DO18678 Issued in OR
Legal business name
HOWARD M GRAITZER DO
Practice address
6040 SE Belmont St
Portland, OR 97215-1974
Phone
(503) 872-3283
Fax
(866) 950-4463
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Howard M Graitzer, D.O.
Title
Owner
Phone
(503) 872-3283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X DO18678 OR Primary

Addresses

Primary practice location

6040 SE Belmont St
Portland, OR 97215-1974

Mailing address

PO Box 66500
Portland, OR 97290-6500
Phone (360) 254-3663

Other identifiers 1

IdentifierTypeStateIssuer
134120MedicaidOR

National Provider Directory

National Provider Directory

Locations

1577 S Ivy St
Canby, OR 97013
Phone (503) 266-5541

8601 SE Causey Ave
Portland, OR 97086
Phone (503) 652-0753

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1881611549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972906500",
            "telephone_number": "360-254-3663",
            "fax_number": "866-950-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151974",
            "telephone_number": "503-872-3283",
            "fax_number": "866-950-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD M GRAITZER DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "GRAITZER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-872-3283",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.