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1922243518
MATTHEW GRAY
PORTLAND, OR
NPI
1922243518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR 11368)
Enumeration Date
2008-12-10
Last Update Date
2008-12-10
Business Address
Mr. MATTHEW GRAY LMT
3944 N MISSISSIPPI AVE
PORTLAND, OR 97227-1163
Phone number: 503-517-8222
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Mailing Address
Mr. MATTHEW GRAY LMT
2718 SW FAIRVIEW BLVD
PORTLAND, OR 97205-5825
Phone number: 503-709-5898
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