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NPI Code Detail

MEDICARE: DR. JAMES CHRISTIAN GRAY DNP, PMHNP

MEDICARE: DR. JAMES CHRISTIAN GRAY DNP, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner10029068OR
2163W00000XRegistered Nurse202110540RNOR
3163W00000XRegistered NurseRN61630969WA
4363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61630979WA

General Provider Information

NPI Number : 1164194171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES CHRISTIAN GRAY DNP, PMHNP
Provider Business Mailing Address
First Line : 5 CENTERPOINTE DR STE 400
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-8661
Country : US
Telephone Number : 503-744-7186
Fax Number : 503-386-3226
Provider Business Practice Location Address
First Line : 5 CENTERPOINTE DR STE 400
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-8661
Country : US
Telephone Number : 503-744-7186
Fax Number : 503-386-3226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 03/10/2026

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