Jonathan Ray Gregory

NPI #1073609871 in Beaverton, Oregon

Provider Information

NPI Number
1073609871
Entity Type
Individual
Name
Jonathan Ray Gregory
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4855 SW WESTERN AVE
State
Oregon
ZIP Code
97005-3460
Phone
(503) 643-7565

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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