C. Scott Graham, D.o., P.c.

NPI 1093839888 - Family Medicine - 207Q00000X

NPI Details
NPI 1093839888
Enumeration Date 03/18/2007
Last Updated 11/11/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES SCOTT CHARLES
Position PRESIDENT
Phone (541) 947-2331
Fax (541) 947-4854
Practice Location
620 S J ST
LAKEVIEW OR, 97630-1680, US
Phone (541) 947-2331
Fax (541) 947-4854
Business Location
620 S J ST
LAKEVIEW OR, 97630-1680, US
Phone (541) 947-2331
Fax (541) 947-4854
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number DO21658
Remove 1093839888 NPI Number
 

According to our database, C. Scott Graham, D.o., P.c. NPI is 1093839888, taxonomy code is 207Q00000X and license number is DO21658, license state is located at Oregon. C. Scott Graham, D.o., P.c. physically located at 620 S J St, Lakeview OR, 97630-1680. NPI Number 1033115704 has the healthcare provider type.

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1093839888 NPI number is provided on an as is basis without warranty of any kind. 1093839888 is maintained by the National Plan & Provider Enumeration System. The contents of C. Scott Graham, D.o., P.c. are for informational purposes only.