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General NPI Number Information
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NPI Number | 1164194171
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Entity Type | Individual
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Provider Name | JAMES CHRISTIAN GRAY DNP, PMHNP
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Gender | Male
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 5 CENTERPOINTE DR STE 400
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-8661
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Country | US
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Telephone | 503-744-7186
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Fax | 503-386-3226
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Provider Business Mailing Address
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Address Line | 5 CENTERPOINTE DR STE 400
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-8661
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Country | US
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Telephone | 503-744-7186
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Fax | 503-386-3226
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10029068
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 202110540RN
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61630969
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61630979
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License Number State | WA
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