Active NPI
Timothy J. Gray Sr., D.O.
- Family Medicine Physician
- Forest Grove, OR
National Provider Identifier
1003810441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO09109
- Practice address
- 1909 Mountain View LN
Suite 200
Forest Grove, OR 97116-2893 - Phone
- (503) 359-4773
- Fax
- (503) 359-3809
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO09109 | OR | Primary |
Addresses
Primary practice location
1909 Mountain View LN
Suite 200
Forest Grove, OR 97116-2893
Mailing address
1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894
Phone (503) 359-4773
Other practice location 1
4660 NE Belknap Ct Ste 119
Hillsboro, OR 97124-8402
Phone (503) 359-4773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235168 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1909 Mountain View LN
Suite 200
Forest Grove, OR 97116-2894
Phone (503) 359-4773
Hospital & facility affiliations
- Amedisys Home Health Care
- Providence Home Health
- Hillsboro Medical Center
- Providence St Vincent Medical Center
- Providence Newberg Medical Center
- Ohsu Hospital and Clinics
- Willamette Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 40 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO09109 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy J Gray DO LLC | Family Medicine | Current | Accepting new patients |
Locations
1909 Mountain View Ln
Forest Grove, OR 97116
Phone (503) 359-4773
1909 Mountain View Ln
Ste 200
Forest Grove, OR 97116
Phone (503) 359-4773
4660 NE Belknap Ct
Ste 119
Hillsboro, OR 97124
Phone (503) 359-3809
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Interoperability endpoints
- timothy.gray.1@26386.direct.athenahealth.com
- https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Forest Grove, OR
- NPI 1477518694
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Portland, OR
- NPI 1134311988
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- Home Health Agency
- Portland, OR
- NPI 1790873461
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1003810441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 MOUNTAIN VIEW LN STE 200",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162894",
"telephone_number": "503-359-4773",
"fax_number": "503-359-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 MOUNTAIN VIEW LN",
"address_2": "SUITE 200",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162893",
"telephone_number": "503-359-4773",
"fax_number": "503-359-3809"
}
],
"practiceLocations": [
{
"address_1": "4660 NE Belknap Ct Ste 119",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971248402",
"country_code": "US",
"telephone_number": "503-359-4773",
"fax_number": "503-359-3809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "TIMOTHY",
"middle_name": "J.",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO09109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235168",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.