Individual provider · Type 1 NPI

Kevin Gray, LPN

Addiction (Substance Use Disorder) Counselor · Tigard, OR

NPI number 1205337516 Active

Practice location

10763 SW Greenburg Rd
Tigard, OR 97223-5492

Call (503) 684-8159 Map

Mailing address

6601 NE 78th Ct Ste A3
Portland, OR 97218-2823

Other practice locations

  • 6601 NE 78th Ct Ste A3, Portland, OR 97218-2823 · (503) 252-3949

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X201400138LPN (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205337516

Kevin Gray, LPN's National Provider Identifier is 1205337516, issued on Feb 22, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tigard, OR. The record was last updated on Nov 7, 2019.