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Individual

DR. CARTER WRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
707 SW GAINES ST, MAIL CODE CDRC-P, PORTLAND, OR 97239-2901
(503) 494-9113
(503) 494-2370
Mailing address
707 SW GAINES ST, MAIL CODE CDRC-P, PORTLAND, OR 97239-2901
(503) 494-9113
(503) 494-2370

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
MD 60092301
WA
2084N0600X
Clinical Neurophysiology Physician
Primary
MD154923
OR

Other

Enumeration date
01/26/2007
Last updated
03/02/2012
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