Individual provider · Type 1 NPI

Tracy Virginia Graham

Attendant Care Provider · Happy Valley, OR

NPI number 1104657071 Active

Practice location

11286 SE Stevens Rd # A307
Happy Valley, OR 97086-7640

Mailing address

4419 NE 47th Ave
Portland, OR 97218-1611

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1104657071

Tracy Virginia Graham's National Provider Identifier is 1104657071, issued on Aug 12, 2024. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Happy Valley, OR. The record was last updated on Aug 12, 2024.