Individual
KYLE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-6915
(541) 706-6733
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11443778-1206
UT
363A00000X
Physician Assistant
Primary
PA202927
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/15/2018
Last updated
12/18/2025
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