Provider Demographics
NPI:1871809194
Name:GRAFF, J'AIME ELLEN (BA, CCCE)
Entity type:Individual
Prefix:MRS
First Name:J'AIME
Middle Name:ELLEN
Last Name:GRAFF
Suffix:
Gender:F
Credentials:BA, CCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 ROSE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:KELSO
Mailing Address - State:WA
Mailing Address - Zip Code:98626-9674
Mailing Address - Country:US
Mailing Address - Phone:360-575-8632
Mailing Address - Fax:
Practice Address - Street 1:1660 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-2310
Practice Address - Country:US
Practice Address - Phone:360-501-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator