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Contact Information

ANDREA V GRAY MD PC
2569 NW EDENBOWER BLVD
ROSEBURG, OR97470
 Phone: 541-957-5400
 Fax: 541-440-1010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ANDREA V GRAY MD PC

NPI Number 1689855967
LBN Legal business name ANDREA V GRAY MD PC
Authorized official ANDREA GRAY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2007
Last updated 11/15/2007 - About 19 years ago
Identifiers
OR Other 4373040001 DMERC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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