Dr. Katherine Marie Graham
D.M.D. | Dentist
12672 Nw Barnes Rd, Suite 101, Portland
Oregon, 97229-6016
503-644-9915 503-350-1275
Maps & DirectionsDr. 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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.