MEDICARE: MR. DOUGLAS THEODORE GRAY LICSW

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
1	1041C0700X	Clinical Social Worker	LW00005222	WA

General Provider Information

NPI Number	:	1285631317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOUGLAS THEODORE GRAY LICSW

Provider Business Mailing Address
First Line	:	PO BOX 10822
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98909-1822
Country	:	US
Telephone Number	:	509-966-2692
Fax Number	:	509-965-1179

Provider Business Practice Location Address
First Line	:	211 PARSONS AVE
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98908-1734
Country	:	US
Telephone Number	:	509-965-1179
Fax Number	:	509-965-1179

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	02/11/2010

Similar Medicare Providers

1568192466 — DR. ELAHEH SALEHI OKA DMD
Practice Location Address:

4309 W NOB HILL BLVD
YAKIMA, WA
98908-3971

Practice Phone: 509-823-4480
Practice Fax:

1477555704 — DR. MATT W. CONNER O.D.
Practice Location Address:

6201 SUMMITVIEW AVE , STE 101
YAKIMA, WA
98908-3019

Practice Phone: 509-454-8850
Practice Fax: 509-452-3293

1356346555 — DR. BRUCE PAUL KINNEY D.D.S.
Practice Location Address:

1014 S 40TH AVE
YAKIMA, WA
98908-3804

Practice Phone: 509-972-8338
Practice Fax: 509-972-8356

1740289883 — DEBRA A GOULD M.D.
Practice Location Address:

504 N 40TH AVE
YAKIMA, WA
98908-4311

Practice Phone: 509-966-9480
Practice Fax: 509-225-2702

1821080987 — WESTSIDE PHYSICAL THERAPY AND SPORTS MEDICINE INC PS
Practice Location Address:

1213 S 40TH AVE
YAKIMA, WA
98908-3961

Practice Phone: 509-966-8981
Practice Fax: 509-966-2125

1275526972 — DR. KEVIN EDWARD HUDSON D.D.S., R.N.
Practice Location Address:

4207 TIETON DR
YAKIMA, WA
98908-3347

Practice Phone: 509-965-8911
Practice Fax:

Directions to “ MR. DOUGLAS THEODORE GRAY LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.