Individual
DR. TIMOTHY J. GRAY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1909 MOUNTAIN VIEW LN, SUITE 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
DO23965
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231406
—
OR
Enumeration date
06/14/2005
Last updated
07/16/2012
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