DR. KATHERINE MARIE GRAHAM (NPI# 1144203688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144203688 |
Entity Type | Individual |
Full Name | DR. KATHERINE MARIE GRAHAM |
Credential | D.M.D. |
Practice Address |
12672 Nw Barnes Rd Suite 101 Portland OR 97229-6016 |
Mailing Address |
10912 Nw Lusanne Ct Portland OR 97229-6172 |
Practice Telephone | 5036449915 |
Practice Fax Number | 5033501275 |
Mailing Telephone | 5036719333 |
Mailing Fax Number | 5036268366 |
Enumeration Date | 2005-11-29 |
Last Update Date | 2016-03-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
D6791 | OR | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 046545 | 05 | |
OR | DELTA DENTAL PAYEE NUMBER | 000006791OR | 01 |
OR | REGENCE BC/BS PROV ID | 037212000 | 01 |
OR | AETNA PIN | 0005116600 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033582481 | Katherine Lynn Graham | Hearing Instrument Specialist | 6206 E Pima St Ste 4, Tucson, AZ 85712-7001 | 2015-11-06 |
1851525554 | Katherine Sue Graham | Physical Therapist | 249 N Brand Blvd, 593, Glendale, CA 91203-2609 | 2009-05-08 |
1962983809 | Katherine Leigh Graham | Physical Therapist | 100 Carmel Manor Dr, Fort Thomas, KY 41075-2300 | 2018-08-28 |
1144578329 | Katherine Graham | Physical Therapist | 1225 Crane St, Menlo Park, CA 94025-4257 | 2012-08-21 |
1376840488 | Katherine Haule Graham | Psychologist | 9950 Cypresswood Dr, Suite 200, Houston, TX 77070-3414 | 2011-02-25 |
1619152030 | Katherine Shelley Graham | Physical Therapist | 232 Boone Heights Dr, Suite A, Boone, NC 28607-4926 | 2008-01-03 |
1598882441 | Katherine Jane Graham | Counselor | 300 N Michigan St, Suite 209, South Bend, IN 46601-1295 | 2007-03-24 |
1093847832 | Katherine Kakis Graham | Physical Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4441 | 2007-03-09 |
Street Address |
12672 NW BARNES RD SUITE 101 |
City | PORTLAND |
State | OR |
Zip Code | 97229-6016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184086647 | Katherine M Graham Dmd PC | Dentist | 12672 Nw Barnes Rd, Suite 101, Portland, OR 97229-6191 | 2016-03-24 |
1487821443 | Barbara A Graham Md PC | Internal Medicine | 12672 Nw Barnes Rd, Suite 100, Portland, OR 97229-6191 | 2008-05-09 |
1861476020 | Barbara Ann Graham | Internal Medicine | 12672 Nw Barnes Rd, Suite #100, Portland, OR 97229-6016 | 2005-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
Find all providers in zip 97229 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.