Individual
MR. JASON M GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38872 PROCTOR BLVD, SANDY, OR 97055-8035
(503) 722-6950
(503) 722-6939
Mailing address
2051 KAEN ROAD, PORTLAND, OR 97202-3371
(503) 742-5300
(503) 742-5977
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
06/05/2007
Last updated
05/28/2016
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