Individual provider · Type 1 NPI

Dana Robert Gray, PAC

Surgical Physician Assistant · Portland, OR

NPI number 1801888367 Active

Practice location

2222 NW Lovejoy St, Suite 315
Portland, OR 97210-3033

Call (503) 226-6101 Map

Fax (503) 227-3422

Mailing address

975 SE Sandy Blvd, Suite 200
Portland, OR 97214-1308

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA00255 (OR)
Surgical Physician Assistant 363AS0400XPA10003194 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1801888367

Dana Robert Gray, PAC's National Provider Identifier is 1801888367, issued on Aug 19, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Apr 18, 2011.