ELMER GRAHAM

Adult Companion

Active Individual
NPI: 1609398601

Practice Address

847 NE 19TH AVE STE 100
Portland, OR 97232

Phone: (503) 238-0769

Specialties

Specialty Code Primary License
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1609398601 is the National Provider Identifier for ELMER GRAHAM, a Adult Companion provider located in Portland, OR. This NPI was enumerated on July 11, 2017.
ELMER GRAHAM practices at 847 NE 19TH AVE STE 100, Portland, OR 97232.

Quick Facts

NPI
1609398601
Type
Individual
Enumerated
Jul 11, 2017
Last Updated
Jul 11, 2017

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