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JOHN ROBERT GRAHAM
NPI 1891409017
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since January 11, 2023
12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 218-0508 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Robert Graham NPPES

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

JOHN ROBERT GRAHAM (NPI 1891409017) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1891409017
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN ROBERT GRAHAM
Location Address12360 E BURNSIDE STPortland, OR 97233-1042
Mailing Address214 College Dr Nw Unit 11Salem, OR 97304-4523 · (971) 218-0508
Phone(971) 218-0508
Sole ProprietorYes
Enumeration DateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1891409017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
12360 E BURNSIDE ST, Portland, OR 97233
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Other Providers at the Same Location NPPES 20

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

ANGEL T HIRSCH PCA/QMHP-C
Counselor
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
CHRISTA R ANDREASEN RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
THURSDAY CHARBONEAU PSS
Peer Specialist
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
JACQUELINE FAYE RICHLAND CSWA
Social Worker
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
VALERIE D CHAMBERS RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
ELIZABETH MORGAN BRADSHAW LCSW
Social Worker (Clinical)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 278-9480
REBEKAH L TRAVIS QMHA
Counselor (Mental Health)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800

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 John Graham's NPI number?

The NPI number for John Graham is 1891409017. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is John Graham located?

John Graham practices at 12360 E Burnside St, Portland, OR 97233. The listed phone number is (971) 218-0508.

What is John Graham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Graham was last updated on January 11, 2023. 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.