Most Relevant Information
Provider Data
| NPI Number: | 1003810441 |
| Provider Name: | TIMOTHY J. GRAY D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | DO09109 |
Most Important Dates
| Enumeration Date: | 06/13/2005 |
| Last Updated: | 05/04/2021 |
Provider Practice Location
1909 MOUNTAIN VIEW LN
SUITE 200
FOREST GROVE
OR
971162893
Practice Location Phone/Fax
| Phone: | 5033594773 |
| Fax: | 5033593809 |
Provider Mailing Location
PO BOX 189
FOREST GROVE
OR
971160189
Provider Mailing Phone/Fax
| Phone: | 5033594773 |
| Fax: | 5033593809 |
Suggested EMR
Family Practice EMR