Individual
MADISON ROSE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10829 SW HALL BLVD UNIT 4-3, TIGARD, OR 97223-8439
(971) 225-8745
Mailing address
10829 SW HALL BLVD UNIT 4-3, TIGARD, OR 97223-8439
(971) 225-8745
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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