Dr. Katherine Marie Graham is a Portland, Oregon based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Katherine Marie Graham is D6791 for General Practice Dentistry in Oregon. Her current practice location is 12672 Nw Barnes Rd, Suite 101, Portland. Patients can reach her at 503-644-9915.
Dr. Katherine Marie Graham is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Katherine Marie Graham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Katherine Marie Graham
Specialization:
Dentist
Gender:
Female
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
12672 Nw Barnes Rd, Suite 101, Portland, Oregon, 97229-6016
Phone:
503-644-9915
Fax:
503-350-1275
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1144203688
NPI Enumeration Date:
29 Nov, 2005
NPI Last Update On:
24 Mar, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Katherine Marie Graham are as mentioned below.
License Number
Specialization
State
Status
D6791
General Practice Dentistry
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Katherine Marie Graham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0005116600
Other
Oregon
AETNA PIN
046545
Medicaid
Oregon
037212000
Other
Oregon
REGENCE BC/BS PROV ID
000006791OR
Other
Oregon
DELTA DENTAL PAYEE NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10912 Nw Lusanne Ct, Portland, Oregon
Zip:
97229-6172
Phone Number:
503-671-9333
Fax Number:
503-626-8366
Patients can reach Dr. Katherine Marie Graham at 12672 Nw Barnes Rd, Suite 101, Portland, Oregon or can call to book an appointment on 503-644-9915. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.