Individual
HEATHER D GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 E 6TH ST, PORT ANGELES, WA 98362-6203
(360) 461-4617
Mailing address
325 E 6TH ST, PORT ANGELES, WA 98362-6203
(360) 461-4617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60157857
WA
171M00000X
Case Manager/Care Coordinator
60157857
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60157857
RN
WA
Enumeration date
11/19/2020
Last updated
11/23/2020
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