NPI 1376120956 · live from the CMS NPI Registry
Mandy Graham
Registered Nurse, Registered Nurse First Assistant in Albany, OR. National Provider Identifier 1376120956, active.
NPI record
| NPI | 1376120956 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 1046 6th Ave Sw, Albany, OR 97321 |
| Practice phone | 541-812-4000 |
| Mailing address | Po Box 1189, Corvallis, OR 97339 |
| Enumerated | March 28, 2021 |
| Last updated | July 7, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | 200941991RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.