Individual
THOMAS CHRISTOPHER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 NE BELKNAP CT, SUITE 119, HILLSBORO, OR 97124-6467
(503) 359-4773
Mailing address
PO BOX 189, FOREST GROVE, OR 97116-0189
(503) 359-4773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO16653
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500720355
—
OR
Enumeration date
03/21/2012
Last updated
02/14/2017
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