Graham, Teresa Roleen

Graham, Teresa Roleen is an individual health care provider with primary practice located at 1000 Pine St , Klamath Falls OR 97601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Graham, Teresa Roleen can be contacted via phone (541) 883-1998.

Contact Information

Primary practice address
1000 Pine St Klamath Falls OR 97601
Phone: (541) 883-1998
Fax: (541) 850-5226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD19413 Oregon

Profile Details

NPI number 1568526952
LBN Legal business name Graham, Teresa Roleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 16th, 2007 - about 19 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 1568526952 NPPES
Oregon MEDICAID 075085
Oregon Other XPY185190

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