Individual
CYNTHIA ELLIS GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1318 NW 20TH AVE, SUITE A, PORTLAND, OR 97209-1671
(503) 227-8882
(503) 227-8058
Mailing address
1318 NW 20TH AVE, SUITE A, PORTLAND, OR 97209-1671
(503) 227-8882
(503) 227-8058
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD26113
OR
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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