Individual
MR. JEFF MICHAEL GRAY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
OREGON STATE HOSPITAL, 2600 CENTER STREET NE, SALEM, OR 97301
(503) 945-0963
(503) 373-1681
Mailing address
OREGON STATE HOSPITAL, 2600 CENTER ST. NE, SALEM, OR 97301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5618
OR
Other
Enumeration date
02/21/2020
Last updated
03/02/2020
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