Gray, Dana Robert

Gray, Dana Robert is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Suite 315, Portland OR 97210-3033. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gray, Dana Robert can be contacted via phone (503) 226-6101.

Contact Information

Primary practice address
2222 Nw Lovejoy St Suite 315 Portland OR 97210-3033
Phone: (503) 226-6101
Fax: (503) 227-3422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00255 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10003194 Washington

Profile Details

NPI number 1801888367
LBN Legal business name Gray, Dana Robert
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Apr 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801888367 NPPES
Washington MEDICAID 8434433
Washington MEDICAID 500603161

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