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General NPI Number Information
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NPI Number | 1952213548
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Entity Type | Individual
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Provider Name | ROSEMARY S GRAY
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Gender | Female
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Dates
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Enumeration Date | 09/19/2026
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Last Update Date | 09/19/2026
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Provider Practice Location Address
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Address Line | 2348 NW LOVEJOY ST
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City | PORTLAND
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State | OR
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Zip | 97210-3022
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Country | US
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Telephone | 503-224-7224
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 SE MILWAUKIE AVE APT 403
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City | PORTLAND
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State | OR
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Zip | 97202-6171
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Country | US
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Telephone | 801-209-5462
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Fax |
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 5139
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License Number State | OR
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