Individual provider · Type 1 NPI

Kacie G. Gray, QMHA-R

Specialist · Heppner, OR

NPI number 1477428290 Active

Practice location

PO Box 536
Heppner, OR 97836-0536

Mailing address

68982 Willow Creek Rd
Heppner, OR 97836-6258

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1477428290

Kacie G. Gray, QMHA-R's National Provider Identifier is 1477428290, issued on Oct 9, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Heppner, OR. The record was last updated on Oct 9, 2025.