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TIMOTHY J GRAY DO LLC NPI 1477518694


NPI Information

NPI: 1477518694
Provider Name: TIMOTHY J GRAY DO LLC

Doing Business As: MOUNTAIN VIEW MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D0666738

Address:
1909 MOUNTAIN VIEW LN
#200
FOREST GROVE, OR
ZIP 97116
Phone: (503) 359-4773
Get Directions

TIMOTHY J GRAY DO LLC is a family medicine in Forest Grove, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TIMOTHY J GRAY DO LLC NPI is 1477518694. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain View Medical Center.

The provider's business location address is:

1909 MOUNTAIN VIEW LN
#200
FOREST GROVE, OR
ZIP 97116-893
Phone: (503) 359-4773
Fax: (503) 359-3809

The provider's authorized official is Timothy J. Gray .
The authorized official title is Owner and has the following contact phone number (503) 359-4773.

The CLIA number assigned to this NPI record is 38D0666738 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 4/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1022891MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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