Graham, Tracy Warwick

Graham, Tracy Warwick is an individual health care provider with primary practice located at 706 Main St Ste 2A , Klamath Falls OR 97601-6010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Graham, Tracy Warwick can be contacted via phone (541) 851-7350.

Contact Information

Primary practice address
706 Main St Ste 2A Klamath Falls OR 97601-6010
Phone: (541) 851-7350
Fax: (541) 851-7351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23546 Oregon

Profile Details

NPI number 1831278589
LBN Legal business name Graham, Tracy Warwick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Aug 25th, 2022 - about 4 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 1831278589 NPPES
Oregon MEDICAID 286410
Oregon MEDICAID XPY197937

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