CYNTHIA D GRAY MD PC (NPI# 1477097251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477097251 |
| Entity Type | Organization |
| Organization Name | CYNTHIA D GRAY MD PC |
| Practice Address |
2101 Ne 139th St Ste 285 Vancouver WA 98686-2326 |
| Practice Telephone | 3608920096 |
| Practice Fax Number | 3608921962 |
| Mailing Telephone | 3608920296 |
| Mailing Fax Number | 3608921962 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | DR. CYNTHIA DEE GRAY (OWNER) |
| Authorized Official Telephone | 3608920096 |
| Authorized Official Credential | MD PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
601876770 | WA | Ambulatory Health Care Facilities |
| Street Address |
2101 NE 139TH ST STE 285 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538656442 | Sarah Dalton Bloom | Nurse Practitioner | 2101 Ne 139th St Ste 285, Vancouver, WA 98686-2326 | 2018-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1184040255 | Pivot Health Acupuncture | Clinic/Center | 14201 Ne 20th Ave, Ste #1102, Vancouver, WA 98686-6410 | 2014-03-12 |
| 1245597095 | Tanner John Barlow | Clinic/Center | 1610 C St, Suite 103, Vancouver, WA 98663-3400 | 2012-04-18 |
| 1750664835 | Calm Spirit Wellness Clinic, LLC | Clinic/Center | 16500 Se 15th St, Suite 160, Vancouver, WA 98683-9665 | 2011-09-24 |
| 1407148653 | Absolute Health & Wellness | Clinic/Center | 16703 Se Mcgillivray Blvd, Suite 215, Vancouver, WA 98683-4300 | 2011-05-06 |
| 1124350814 | Tamme Davis, D.o., Pllc | Clinic/Center | 11801 Ne 65th St, Suite A, Vancouver, WA 98662-5527 | 2010-02-04 |
| 1992938906 | Dermatology Associates of Southwest Washington, Pllc | Clinic/Center | 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664-2059 | 2009-08-25 |
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| 1811377484 | Knead To Heal, LLC | Clinic/Center | 2312 Rucker Ave, Everett, WA 98201-2723 | 2015-06-09 |
| 1699185348 | Duane Fredrick Hopp | Clinic/Center | 22612 126th Ave E, Graham, WA 98338-6725 | 2014-05-03 |
| 1689919292 | Poma Fertility, LLC | Clinic/Center | 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 | 2012-12-07 |
| 1275888232 | Massage Mundo | Clinic/Center | 423 Eastlake Ave E, Seattle, WA 98109-5408 | 2012-07-16 |
| 1144536079 | 3-d Diagnostics, LLC | Clinic/Center | 2616 Yelm Hwy Se Ste A, Olympia, WA 98501-0800 | 2010-08-30 |
| 1588982060 | Assured Imaging Womens Wellness of Washington, LLC | Clinic/Center | 565 Andover Park W Ste 110, Tukwila, WA 98188-3357 | 2010-05-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.