| Dr Timothy J Gray Sr, DO | |
|
1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2893 | |
| (503) 359-4773 | |
| (503) 359-3809 |
| Full Name | Dr Timothy J Gray Sr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 53 Years |
| Location | 1909 Mountain View Ln, Forest Grove, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003810441 | NPI | - | NPPES |
| 235168 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO09109 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tuality Community Hospital | Hillsboro, OR | Hospital |
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Timothy J Gray Do Llc | 1355390584 | 12 |
| Entity Name | Timothy J Gray Do Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477518694 PECOS PAC ID: 1355390584 Enrollment ID: O20050114000392 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy J Gray Sr, DO Po Box 189, Forest Grove, OR 97116-0189 Ph: (503) 359-4773 | Dr Timothy J Gray Sr, DO 1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116-2893 Ph: (503) 359-4773 |
Sheridan Thiringer, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 | |
Marilyn J Booth, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735 | |
Emaan Khan, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 | |
Khanh-uyen Tina Huu Nguyen, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-359-6105 | |
Dr. Benjamin Robert Burton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 Mountain View Ln Ste 200, Forest Grove, OR 97116 Phone: 503-359-4773 | |
Dr. Sean Lincoln Steward, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3838 Pacific Ave, Forest Grove, OR 97116 Phone: 503-992-0288 |