Individual
CAROL ANNE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MIDWIFE
Contact information
Practice address
1414 NW 53RD DRIVE, PORTLAND, OR 97210
(503) 236-2999
(503) 236-4334
Mailing address
1414 NW 53RD DRIVE, PORTLAND, OR 97210
(503) 236-2999
(503) 236-4334
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
225700000X
Massage Therapist
3150
OR
225700000X
Massage Therapist
MA00004670
WA
Other
Enumeration date
03/28/2007
Last updated
09/11/2025
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