Individual
MRS. REBECCA ANN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
620 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2163
(541) 271-4058
Mailing address
620 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2163
(541) 271-4058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201392034NP-PP
OR
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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