Graham, Donald R

Graham, Donald R is an sole proprietor health care provider with primary practice located at 342 Fairview St , Silverton OR 97381-1917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Graham, Donald R can be contacted via phone (503) 873-1690.

Contact Information

Primary practice address
342 Fairview St Silverton OR 97381-1917
Phone: (503) 873-1690
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD10678 Oregon
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 0101048920 Virginia

Profile Details

NPI number 1831132265
LBN Legal business name Graham, Donald R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Dec 26th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831132265 NPPES
Virginia MEDICAID 010056161
Virginia MEDICAID 238246

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