Individual
DR. JUDITH ANN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8259
(503) 413-6267
Mailing address
19128 SW 53RD CT, TUALATIN, OR 97062-9775
(503) 413-8259
(503) 413-6267
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD13711
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100529
—
OR
Enumeration date
02/16/2007
Last updated
05/09/2008
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