Individual
CHRISTINE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16180 SE SUNNYSIDE RD, SUITE 102, HAPPY VALLEY, OR 97015-6301
(503) 582-4900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL17978
OR
207Q00000X
Family Medicine Physician
Primary
MD153563
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500635615
—
OR
Enumeration date
12/02/2008
Last updated
10/15/2012
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