Gray, Jason Fredrick
Gray, Jason Fredrick is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy , Roseburg OR 97470-1281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gray, Jason Fredrick can be contacted via phone (541) 673-0611.Contact Information
Primary practice address
2700 Nw Stewart Pkwy
Roseburg OR 97470-1281
Phone: (541) 673-0611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD22276 | Oregon |
Profile Details
| NPI number | 1174565972 |
|---|---|
| LBN Legal business name | Gray, Jason Fredrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174565972 | NPPES |
| Oregon | MEDICAID | 170069 |
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