Gregory, Jonathan Ray

Gregory, Jonathan Ray is an sole proprietor health care provider with primary practice located at 4855 Sw Western Ave , Beaverton OR 97005-3460. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Gregory, Jonathan Ray can be contacted via phone (503) 643-7565.

Contact Information

Primary practice address
4855 Sw Western Ave Beaverton OR 97005-3460
Phone: (503) 643-7565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1073609871
LBN Legal business name Gregory, Jonathan Ray
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers