Individual
MS. LAUREN A GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1219 APPLEGATE ST, PHILOMATH, OR 97370-2031
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO158032
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2009
Last updated
07/03/2012
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