Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANDY GRAHAM
Active Sole ProprietorMANDY GRAHAM is a Registered Nurse First Assistant healthcare provider located in DALLAS, Oregon. NPI 1376120956 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse First Assistant · DALLAS, OR
Registration Details
- NPI Number
- 1376120956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2021 (5.4035588157367 yrs)
- Last Updated
- Mar 28, 2021
- License
-
200941991RN (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
525 SE WASHINGTON STDALLAS, OR, 973382834Browse OR providers · Browse ZIP 97338
- Phone
- 5039172083
- Primary Specialty
-
Registered Nurse First Assistant
163WR0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.