NPI 1073609871

Jonathan Ray Gregory

Practitioner Optician Beaverton, OR

Practice location

Address: 4855 SW Western Ave, Beaverton, OR 97005-3460
Phone: (503) 643-7565
Mailing address: 3755 NE Sumner St, Portland, OR 97211

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Oregon →

Registry record

NPI: 1073609871
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.