Cynthia D Gray MD PC
Clinic/Center, Medical Specialty in Vancouver, WA. Organization (NPI-2).
NPI number1477097251
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1477097251
- Entity type
- Organization (NPI-2)
- Legal business name
- Cynthia D Gray MD PC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2016
- Last updated
- Dec 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 601876770 | WA | Yes |
Practice location
2101 Ne 139th St Ste 285Vancouver, WA 98686-2326
Phone 360-892-0096 · Fax 360-892-1962
Mailing address
2101 Ne 139th St Ste 285Vancouver, WA 98686-2326
Phone 360-892-0296 · Fax 360-892-1962
Authorized official
Cynthia Dee Gray
Owner
3608920096
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