IndividualActive
Charles Graham, D.O.
NPI 1700932332 · Family Medicine Physician · Lakeview, OR
Provider details
- NPI number
- 1700932332
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DO21658 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
620 S J St
Lakeview, OR 97630-1680
Phone: (541) 947-2331
Approximate (ZIP-level) locationGet directions
Mailing address
620 S J St
Lakeview, OR 97630-1680
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2020-01-07
- Certified
- 2020-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.