Gray, Peter J

Gray, Peter J is an individual health care provider with primary practice located at 1600 Delta Waters Rd Suite 107, Medford OR 97504-9114. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gray, Peter J can be contacted via phone (541) 858-2515.

Contact Information

Primary practice address
1600 Delta Waters Rd Suite 107 Medford OR 97504-9114
Phone: (541) 858-2515
Fax: (541) 858-2514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003890 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA154108 Oregon

Profile Details

NPI number 1528037397
LBN Legal business name Gray, Peter J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 7th, 2023 - about 2 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 1528037397 NPPES
Washington MEDICAID 8387318
Washington Other KQ548
Washington Other 379109600
Washington MEDICAID 805608100
Washington Other 970018798
Washington Other 000010029019
Washington Other 19132
Washington Other 2030GR
Washington Other 8940235
Washington Other 149070
Washington Other PA154108
Washington MEDICAID 4310129

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