NPI 1699770057

Timothy J. Gray, DO

Practitioner Family Medicine Physician Forest Grove, OR

Practice location

Address: 1909 Mountain View Ln Suite 200, Forest Grove, OR 97116-2893
Phone: (503) 359-4773
Fax: (503) 359-3809
Mailing address: PO Box 189, Forest Grove, OR 97116-0189

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO23965 (OR)

Other Family Medicine providers in Oregon →

Registry record

NPI: 1699770057
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2005
Record last updated: 16 Jul 2012

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.