GRAHAM PEDIATRIC CLINIC, LLC
NPI 1174250104
Pediatrics in Klamath Falls, OR

Q: What is Graham Pediatric Clinic, LLC's NPI number?

The NPI number for Graham Pediatric Clinic, LLC is 1174250104. It was assigned to this organization in the NPPES registry on August 1, 2022.

Q: What is Graham Pediatric Clinic, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 01, 2022CLIA 38D2263412 · Waiver

706 MAIN ST STE 2A, KLAMATH FALLS, OR 97601(541) 591-0877(888) 519-9117 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2022, Aug 1, 2022 (2 updates tracked since 2022).

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About Graham Pediatric Clinic, Llc NPPES

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

GRAHAM PEDIATRIC CLINIC, LLC (NPI 1174250104) is a healthcare organization registered as a pediatrics in Klamath Falls, Oregon and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Tracy Graham, Physician, as its authorized official.

NPPES Registry Identity

NPI1174250104

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameGRAHAM PEDIATRIC CLINIC, LLC

Location Address706 MAIN ST STE 2AKlamath Falls, OR 97601-6010

Mailing Address706 Main St Ste 2aKlamath Falls, OR 97601-6010 · (541) 851-7350 · Fax (541) 851-7351

Phone(541) 591-0877

Fax(888) 519-9117

Organization SubpartNo

Authorized OfficialTracy GrahamPhysician · (541) 851-7350

Enumeration DateAugust 1, 2022

Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration

NPPES CertifiedAugust 24, 2022

✔ NPI 1174250104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

706 MAIN ST STE 2A, Klamath Falls, OR 97601

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2263412

Graham Pediatric Clinic, LLC · Klamath Falls, OR

Active · expires Jun 27, 2028

CLIA Number38D2263412

Laboratory TypePhysician Office

Certificate Effective DateJune 28, 2026

Certificate Expiration DateJune 27, 2028

Laboratory DirectorTracy W. Graham

Laboratory Phone(541) 591-0877

Laboratory LocationGraham Pediatric Clinic, LLC706 Main Street, Ste 2A, Klamath Falls, OR 97601

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TRACY WARWICK GRAHAM MD

Pediatrics

706 MAIN ST STE 2A
KLAMATH FALLS, OR 97601

Klamath County (541) 851-7350

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 Graham Pediatric Clinic, LLC's NPI number?

The NPI number for Graham Pediatric Clinic, LLC is 1174250104. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Graham Pediatric Clinic, LLC located?

Graham Pediatric Clinic, LLC is located at 706 Main St Ste 2A, Klamath Falls, OR 97601. The listed phone number is (541) 591-0877.

What is Graham Pediatric Clinic, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Graham Pediatric Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2263412) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Graham Pediatric Clinic, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Graham Pediatric Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Graham Pediatric Clinic, LLC was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.