Gray, Gary Michael

Gray, Gary Michael is an individual health care provider with primary practice located at 2350 Nw Century Dr Suite 100, Corvallis OR 97330-3495. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gray, Gary Michael can be contacted via phone (541) 754-1150.

Contact Information

Primary practice address
2350 Nw Century Dr Suite 100 Corvallis OR 97330-3495
Phone: (541) 754-1150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3992 Oregon

Profile Details

NPI number 1013968098
LBN Legal business name Gray, Gary Michael
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Mar 25th, 2013 - about 11 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 1013968098 NPPES
Oregon MEDICAID 227138

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