Individual
KACIE G GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R
Contact information
Practice address
PO BOX 536, HEPPNER, OR 97836-0536
(541) 676-5125
Mailing address
68982 WILLOW CREEK RD, HEPPNER, OR 97836-6258
(541) 676-5125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OR
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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