Timothy J. Gray SR. D.O.

NPI 1003810441 - Family Medicine - 207Q00000X

NPI Details
NPI 1003810441
Gender Male
Enumeration Date 06/13/2005
Last Updated 07/16/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1909 MOUNTAIN VIEW LN
SUITE 200
FOREST GROVE OR, 97116-2893, US
Phone (503) 359-4773
Fax (503) 359-3809
Business Location
PO BOX 189
FOREST GROVE OR, 97116-0189, US
Phone (503) 359-4773
Fax (503) 359-3809
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number DO09109
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According to our database, Dr. Timothy J. Gray SR. D.O. NPI is 1003810441, taxonomy code is 207Q00000X and license number is DO09109, license state is located at Oregon. Timothy J. Gray SR. D.O. physically located at 1909 Mountain View Ln, Forest Grove OR, 97116-2893. NPI Number Timothy J. Gray SR. D.O. has the Individual type.

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1003810441 NPI number is provided on an as is basis without warranty of any kind. 1003810441 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy J. Gray SR. D.O. are for informational purposes only.