Organization
TIMOTHY J GRAY DO LLC
Active
Other names
Mountain View Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J. GRAY SR. D.O. (OWNER)
(503) 359-4773
Entity
Organization
Contact information
Practice address
1909 MOUNTAIN VIEW LN, #200, FOREST GROVE, OR 97116-2893
(503) 359-4773
(503) 359-3809
Mailing address
PO BOX 189, FOREST GROVE, OR 97116-0189
(503) 359-4773
(503) 359-3809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022891
—
OR
Enumeration date
04/19/2006
Last updated
04/27/2021
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