Individual provider · Type 1 NPI

Carly Gray, NP

Adult Health Nurse Practitioner · La Grande, OR

NPI number 1962804641 Active

Practice location

506 4th St
La Grande, OR 97850

Fax (541) 975-5120

Mailing address

PO Box 3290
La Grande, OR 97850-7290

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XNP-1503A (ID)
Adult Health Nurse Practitioner Primary 363LA2200X201503486NP-PP (OR)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1962804641

Carly Gray, NP's National Provider Identifier is 1962804641, issued on Sep 24, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in La Grande, OR. The record was last updated on Jul 24, 2018.