Individual
JADE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W PEACHTREE ST NW STE 2300, ATLANTA, GA 30309-3453
(503) 481-5253
Mailing address
17279 SW JOHNSON ST, BEAVERTON, OR 97003-5002
(503) 481-5253
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
05/12/2021
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