| Dr Kevin David Grayson, MD | |
|
612 Sunset Dr, La Grande, OR 97850-1248 | |
| (541) 663-3150 | |
| (541) 975-5111 |
| Full Name | Dr Kevin David Grayson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 612 Sunset Dr, La Grande, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932128477 | NPI | - | NPPES |
| H1258-02 | Other | OR | OTHER |
| 287182 | Medicaid | OR | |
| 9305053253002 | Other | EMPLOYER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD23354 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin David Grayson, MD 612 Sunset Dr, La Grande, OR 97850-1248 Ph: (541) 663-3150 | Dr Kevin David Grayson, MD 612 Sunset Dr, La Grande, OR 97850-1248 Ph: (541) 663-3150 |
Dr. Eve Koltuv, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Sunset Dr Ste E, La Grande, OR 97850 Phone: 541-663-3150 Fax: 541-975-5111 | |
Aaron Wells Grigg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3159 | |
Michael A Hetrick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3150 Fax: 541-975-5111 | |
Melindres J Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3150 Fax: 541-975-5111 | |
Sarah J Rollin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 612 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3150 |