Graham Pediatric Clinic, LLC
NPI 1174250104ActiveOrganization· Pediatrics· Klamath Falls, OR
Pediatrics in Klamath Falls, Oregon, registered in NPPES in August 2022. The authorized official on file is Tracy Graham, MD, Physician.
Overview
| NPI | 1174250104 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2022 |
| Last updated in NPPES | Aug 24, 2022 |
| Certified by provider | Aug 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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