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Individual

MR. GREGORY ROBERT OBRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1207 EVERGREEN CT, CLARKSTON, WA 99403-2874
(509) 769-2254
(509) 769-2255
Mailing address
PO BOX 189, CLARKSTON, WA 99403-0189
(509) 758-2254
(509) 758-2255

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
00034506
WA
363AS0400X
Surgical Physician Assistant
Primary
M7482
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805208800
ID
05
8204851
WA
Enumeration date
12/31/2006
Last updated
01/21/2026
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