DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIMOTHY J GRAY DO LLC

MEDICARE: TIMOTHY J GRAY DO LLC
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
1207Q00000XFamily Medicine PhysicianOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477518694
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIMOTHY J GRAY DO LLC
Provider Business Mailing Address
First Line : PO BOX 189
Second Line :
City : FOREST GROVE
State : OR
Zip : 97116-0189
Country : US
Telephone Number : 503-359-4773
Fax Number : 503-359-3809
Provider Business Practice Location Address
First Line : 1909 MOUNTAIN VIEW LN
Second Line : #200
City : FOREST GROVE
State : OR
Zip : 97116-2893
Country : US
Telephone Number : 503-359-4773
Fax Number : 503-359-3809
Authorized Official
Title or Position : OWNER
Name : DR. TIMOTHY J. GRAY SR.
Credential : D.O.
Telephone Number : 503-359-4773
Provider Enumeration Date : 04/19/2006
Last Update Date : 04/27/2021

Similar Medicare Providers

1003810441 — DR. TIMOTHY J. GRAY SR. D.O.
Practice Location Address:
1909 MOUNTAIN VIEW LN , SUITE 200
FOREST GROVE, OR
97116-2893
Practice Phone: 503-359-4773
Practice Fax: 503-359-3809
1588668933 — MRS. KAREN A. KIRWAN FNP-C
Practice Location Address:
1909 MOUNTAIN VIEW LN , SUITE 200
FOREST GROVE, OR
97116-2893
Practice Phone: 503-359-4773
Practice Fax: 503-359-3809
1699770057 — DR. TIMOTHY J. GRAY II D.O.
Practice Location Address:
1909 MOUNTAIN VIEW LN , SUITE 200
FOREST GROVE, OR
97116-2893
Practice Phone: 503-359-4773
Practice Fax: 503-359-3809
1629479282 — ELIZABETH MARIE HUGHES PA-C
Practice Location Address:
1909 MOUNTAIN VIEW LN , SUITE 200
FOREST GROVE, OR
97116-2893
Practice Phone: 503-359-4773
Practice Fax:
1437537669 — ALISON SHAPIRO
Practice Location Address:
1909 MOUNTAIN VIEW LN , SUITE 200
FOREST GROVE, OR
97116-2893
Practice Phone: 503-359-4773
Practice Fax:
1578139309 — SARAH EMELIA MAWDSLEY LPC
Practice Location Address:
1909 MOUNTAIN VIEW LN STE 202
FOREST GROVE, OR
97116-2893
Practice Phone: 999-999-9999
Practice Fax:

Directions to “TIMOTHY J GRAY DO LLC ” 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.