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Individual

DENNIS STEPHEN GREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
F.N.P.

Contact information

Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 297-6334
(503) 297-2360
Mailing address
9340 SW BARNES RD, SUITE 202, PORTLAND, OR 97225-6623
(503) 297-6334
(503) 297-2360

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
078039912N1 FNP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010806
OR
01
500008423
UNITED HEALTH CARE
OR
Enumeration date
08/13/2006
Last updated
02/03/2011
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