Individual provider · Type 1 NPI

John Robert Graham

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1891409017 Active

Practice location

12360 E Burnside St
Portland, OR 97233-1042

Call (971) 218-0508 Map

Mailing address

214 College Dr NW Unit 11
Salem, OR 97304-4523

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

88 other providers at this address

Other student in an organized health care education/training program providers in Portland

See all in Portland →

About NPI 1891409017

John Robert Graham's National Provider Identifier is 1891409017, issued on Jan 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jan 11, 2023.