Individual
DR. JAY D. GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1215 SW 18TH AVE, PORTLAND, OR 97205-1711
(503) 224-1223
(503) 224-2134
Mailing address
1215 SW 18TH AVE, PORTLAND, OR 97205-1711
(503) 224-1223
(503) 224-2134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1353
OR
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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