Individual
TYLER THOMAS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1108 JUNE ST, HOOD RIVER, OR 97031-1513
(541) 386-5070
Mailing address
1750 12TH ST, HOOD RIVER, OR 97031-9540
(541) 386-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL18259
OR
Other
Enumeration date
06/08/2009
Last updated
10/17/2017
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