Individual
MR. GARY MICHAEL GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2350 NW CENTURY DR, SUITE 100, CORVALLIS, OR 97330-3495
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3992
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227138
—
OR
Enumeration date
05/13/2006
Last updated
03/25/2013
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