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1073609871
JONATHAN RAY GREGORY
BEAVERTON, OR
NPI
1073609871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
JONATHAN RAY GREGORY
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-643-7565
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Mailing Address
JONATHAN RAY GREGORY
3755 NE SUMNER ST
PORTLAND, OR 97211
Phone number: 503-380-6354
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