TRACY VIRGINIA GRAHAM
NPI 1104657071
Technician - Attendant Care Provider in Happy Valley, OR

Q: What is Tracy Graham's NPI number?

The NPI number for Tracy Graham is 1104657071. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Q: What is Tracy Graham's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Graham was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2024

11286 SE STEVENS RD # A307, HAPPY VALLEY, OR 97086(503) 267-5403 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Tracy Virginia Graham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY VIRGINIA GRAHAM (NPI 1104657071) is an individual attendant care provider provider in Happy Valley, Oregon and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1104657071

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameTRACY VIRGINIA GRAHAM

Location Address11286 SE STEVENS RD # A307Happy Valley, OR 97086-7640

Mailing Address4419 Ne 47th AvePortland, OR 97218-1611 · (503) 267-5403

Phone(503) 267-5403

Sole ProprietorYes

Enumeration DateAugust 12, 2024

NPPES CertifiedAugust 12, 2024

✔ NPI 1104657071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

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.

11286 SE STEVENS RD # A307, Happy Valley, OR 97086

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIVIAN LEE PUGA

Technician (Attendant Care Provider)

11286 SE STEVENS RD # A307
HAPPY VALLEY, OR 97086

Clackamas County (503) 730-1049

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Graham's NPI number?

The NPI number for Tracy Graham is 1104657071. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Tracy Graham located?

Tracy Graham practices at 11286 SE Stevens Rd # A307, Happy Valley, OR 97086. The listed phone number is (503) 267-5403.

What is Tracy Graham's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Tracy Graham was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.