Gray, Timothy J.

Gray, Timothy J. is an individual health care provider with primary practice located at 1909 Mountain View Ln Suite 200, Forest Grove OR 97116-2893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gray, Timothy J. can be contacted via phone (503) 359-4773.

Contact Information

Primary practice address
1909 Mountain View Ln Suite 200 Forest Grove OR 97116-2893
Phone: (503) 359-4773
Fax: (503) 359-3809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO09109 Oregon

Profile Details

NPI number 1003810441
LBN Legal business name Gray, Timothy J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated May 4th, 2021 - about 3 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 1003810441 NPPES
Oregon MEDICAID 235168

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