person
Dana Robert Gray, PAC
Surgical Physician Assistant in Portland, Oregon
NPI 1801888367

Dana Robert Gray is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Dana Robert Gray practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Dana Robert Gray is 1801888367 and holds a License No. PA00255 (Oregon).

The current practice location address for Dana Robert Gray is 2222 Nw Lovejoy St, Portland, OR and can be reached out via phone at 503-226-6101 and via fax at 503-227-3422.

Location: 2222 Nw Lovejoy St, Portland, OR, 97214-1308
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Provider Profile Details
NPI Number
1801888367
Provider Name
Dana Robert Gray
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
2222 Nw Lovejoy St, Portland, OR, 97214-1308
Phone Number
503-226-6101
Fax Number
503-227-3422
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8434433 05 WA
500603161 05 OR
institution
Provider Business Practice Location Address Details
Address
2222 Nw Lovejoy St
City
State
Zip
97210-3033
Phone Number
503-226-6101
Fax Number
503-227-3422
person
Provider Business Mailing Address Details
Address
2222 Nw Lovejoy St
City
State
Zip
97210-3033
Phone Number
503-226-6101
Fax Number
503-227-3422
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00255 (Oregon)
Definition
Definition to come...
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