Individual
DR. ADAM WRAY
Active
Individual
DR. ADAM WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
O-0444
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010163015
REGENCE BLUE SHIELD BLKFT
ID
01
—
000010163016
REGENCE BLUE SHIELD POC
ID
01
—
315520
ALTIUS
ID
05
—
807719000
—
ID
01
—
S6116
BLUE CROSS BLKFT
ID
01
—
S6117
BLUE CROSS POC
ID
Enumeration date
01/25/2007
Last updated
05/06/2026
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