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Active NPI 1740407683 Individual Practitioner Female Practitioner

Tara S. Kirkpatrick Graham , NNP

Nurse Practitioner - Neonatal • Portland, OR

Professional Overview & Biography Verified Profile Summary

Tara Kirkpatrick Graham, NNP is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Portland, OR. Practice services are available at 2801 N GANTENBEIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2801 N Gantenbein Ave

Portland, OR 972271623

Telephone 5034131867
Fax 5034132580
Associated Practice Facility / Clinic
🏢 Echo Vision Inc Facility NPI 1578544342

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Portland, OR (49 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License OR 200650152NP

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
271141 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Carrie Scheckla , NNP

Nurse Practitioner - Neonatal

NPI 1912146549

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2013

Registered at 2801 N GANTENBEIN AVE, PORTLAND, OR 972271623 (Tel: 5034131867)

📍
Updated Business Mailing Address June 26, 2013

Registered at 2801 N GANTENBEIN AVE, PORTLAND, OR 972271623 (Tel: 5034131867)

👤
Provider Name / Credentials Updated June 26, 2013

Recorded as TARA KIRKPATRICK GRAHAM, NNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2013

Nurse Practitioner (License #200650152NP in OR)

🟢
Initial NPI Registration & Enumeration April 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740407683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2007
Last Update: June 26, 2013
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2801 N Gantenbein Ave

Portland, OR 972271623

Phone: 5034131867

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.