Individual
MARY DRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 SE 202ND AVE, PORTLAND, OR 97233-6105
(503) 665-3118
Mailing address
6513 SW 47TH PL, PORTLAND, OR 97221-2873
(541) 954-2501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
363930
OR
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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