IndividualActive
Mandy Graham
NPI 1376120956 · Registered Nurse First Assistant · Dallas, OR
Provider details
- NPI number
- 1376120956
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 200941991RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
525 Se Washington St
Dallas, OR 97338-2834
Phone: (503) 917-2083
Approximate (ZIP-level) locationGet directions
Mailing address
440 Ellis St
Falls City, OR 97344-9731
Registry dates
- Enumerated
- 2021-03-28
- Last updated
- 2021-03-28
- Certified
- 2021-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.