Individual
MRS. REBECCA R GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
547 SW 7TH ST, NEWPORT, OR 97365-4909
(541) 574-9570
Mailing address
PO BOX 1538, NEWPORT, OR 97365-0115
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-2600
OR
Other
Enumeration date
11/14/2023
Last updated
01/13/2025
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