institution
Andrea V Gray Md Pc
Eyewear Supplier in Roseburg, Oregon
NPI 1689855967

Andrea V Gray Md Pc is a Eyewear Supplier based in Roseburg, OR. Andrea V Gray Md Pc practices in Roseburg, OR. The NPI Number for Andrea V Gray Md Pc is 1689855967 and holds a License No. (Oregon).

The current practice location address for Andrea V Gray Md Pc is 2569 Nw Edenbower Blvd, Roseburg, OR and can be reached out via phone at 541-957-5400 and via fax at 541-440-1010.

Location: 2569 Nw Edenbower Blvd, Roseburg, OR, 97470
institution
Provider Profile Details
NPI Number
1689855967
Provider Name
Andrea V Gray Md Pc
Credential
Provider Entity Type
Organization
Address
2569 Nw Edenbower Blvd, Roseburg, OR, 97470
Phone Number
541-957-5400
Fax Number
541-440-1010
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4373040001 01 OR DMERC
institution
Provider Business Practice Location Address Details
Address
2569 Nw Edenbower Blvd
City
State
Zip
97470
Phone Number
541-957-5400
Fax Number
541-440-1010
person
Provider Business Mailing Address Details
Address
2569 Nw Edenbower Blvd
City
State
Zip
97470
Phone Number
541-957-5400
Fax Number
541-440-1010
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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