Andrea V Gray Md Pc

LBN: Andrea V Gray Md Pc
Andrea V Gray Md Pc is an health care organization with primary practice located at 2569 Nw Edenbower Blvd , Roseburg OR 97470. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Andrea V Gray Md Pc can be contacted via phone (541) 957-5400, or through Gray, Andrea V via phone (541) 957-5400.

Contact Information

Primary practice address
2569 Nw Edenbower Blvd Roseburg OR 97470
Phone: (541) 957-5400
Fax: (541) 440-1010
Website:
Map and Directions
Authorized official contact:
Name: Gray, Andrea V Doctor of Medicine (MD)
Phone: (541) 957-5400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X Oregon

Profile Details

NPI number 1689855967
LBN Legal business name Andrea V Gray Md Pc
DBA Doing business as
Authorized official Gray, Andrea V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2007
Last updated Nov 15th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689855967 NPPES
Oregon Other 4373040001 DMERC

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