Individual
DR. KEVIN DAVID GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 SUNSET DR STE E, LA GRANDE, OR 97850-1200
(541) 663-3150
(541) 975-5111
Mailing address
710 SUNSET DR STE E, LA GRANDE, OR 97850-1200
(541) 663-3150
(541) 975-5111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD23354
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287182
—
OR
01
—
9305053253002
EMPLOYER ID
—
01
—
H1258-02
OTHER
OR
Enumeration date
07/18/2006
Last updated
01/22/2026
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