Individual
SIMONE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18540 SW BOONES FERRY RD APT J6, TUALATIN, OR 97062-9437
(832) 873-0124
Mailing address
18540 SW BOONES FERRY RD APT J6, TUALATIN, OR 97062-9437
(832) 873-0124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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