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1699770057
TIMOTHY J. GRAY
FOREST GROVE, OR
NPI
1699770057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO23965)
Enumeration Date
2005-06-14
Last Update Date
2012-07-16
Business Address
Dr. TIMOTHY J. GRAY D.O.
1909 MOUNTAIN VIEW LN SUITE 200
FOREST GROVE, OR 97116-2893
Phone number: 503-359-4773
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Mailing Address
Dr. TIMOTHY J. GRAY D.O.
PO BOX 189
FOREST GROVE, OR 97116-0189
Phone number: 503-359-4773
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