Individual
CHRISTINA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
765 14TH ST NE, SALEM, OR 97301-2611
(503) 504-5686
Mailing address
5484 SE ROETHE RD, MILWAUKIE, OR 97267-5054
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-1006143
OR
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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