Individual
DR. NANCY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2120 EXCHANGE ST STE 110, ASTORIA, OR 97103-3322
(503) 325-5655
Mailing address
2120 EXCHANGE ST STE 110, ASTORIA, OR 97103-3322
(503) 325-5655
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00310
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295455
—
OR
Enumeration date
12/27/2006
Last updated
11/08/2008
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