Individual provider · Type 1 NPI

Jason M. Gray

Counselor · Sandy, OR

NPI number 1629270004 Active

Practice location

38872 Proctor Blvd
Sandy, OR 97055-8035

Fax (503) 722-6939

Mailing address

2051 Kaen Road
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1629270004

Jason M. Gray's National Provider Identifier is 1629270004, issued on Jun 5, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sandy, OR. The record was last updated on May 28, 2016.