Individual
MRS. MANDELYNN GRACE ANN PRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1810 E 19TH ST, SUITE 209, THE DALLES, OR 97058-3388
(541) 296-5657
(541) 298-5199
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-5263
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201050099NP
OR
367A00000X
Advanced Practice Midwife
AWARDED JUNE 2010
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500624408
—
OR
Enumeration date
05/04/2010
Last updated
08/26/2025
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