IndividualActive
Dana Gray, PAC
NPI 1801888367 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1801888367
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- PA00255 (OR)
Practice location
2222 Nw Lovejoy St
Suite 315
Portland, OR 97210-3033
Phone: (503) 226-6101
Fax: (503) 227-3422
Mailing address
975 Se Sandy Blvd
Portland, OR 97214-1308
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2011-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.