Active NPI
Howard M Graitzer DO
- Geriatric Medicine (Family Medicine) Physician
- Portland, OR
National Provider Identifier
1881611549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- DO18678
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134120 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gerontology Nurse Practitioner
- Portland, OR
- NPI 1629010574
-
- Adult Health Nurse Practitioner
- Aloha, OR
- NPI 1134114739
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.