Active NPI
Gregory Robert Obray, PA-C
- Surgical Physician Assistant
- Clarkston, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- M7482
- Practice address
- 1207 Evergreen CT
Clarkston, WA 99403-2874 - Phone
- (509) 769-2254
- Fax
- (509) 769-2255
- NPI assigned
- Dec 31, 2006
- Last updated
- Jan 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 00034506 | WA | |
| Surgical Physician Assistant | 363AS0400X | M7482 | ID | Primary |
Addresses
Primary practice location
1207 Evergreen CT
Clarkston, WA 99403-2874
Mailing address
PO Box 189
Clarkston, WA 99403-0189
Phone (509) 758-2254
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8204851 | Medicaid | WA | |
| 805208800 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Highland Ave
Clarkston, WA 99403-2829
Phone (208) 746-1383
2315 8TH St
Lewiston, ID 83501-7301
Phone (208) 746-1383
320 Warner Dr
Lewiston, ID 83501-4441
Phone (208) 743-3523
808 Port Dr
Clarkston, WA 99403-6009
Phone (208) 746-1383
PO Box
Suite 189
Clarkston, WA 99403-0189
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7482 | ID | MD | Orthopaedic Surgery of the Spine Physician |
| 00034506 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients |
Locations
1207 Evergreen Ct
Clarkston, WA 99403
Phone (509) 751-0600
1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312
1267 Belmont Way
Clarkston, WA 99403
Phone (509) 751-1500
1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531
Interoperability endpoints
- gobray@cmgadmin.directmessaging.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1760485221
-
dba Columbia County Health System
- Critical Access Hospital
- Dayton, WA
- NPI 1134128911
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1598814352
-
dba College Place Health Clinic
- Primary Care Clinic/Center
- College Place, WA
- NPI 1851050264
-
dba Medicare Defined Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Dayton, WA
- NPI 1932286077
-
- Community Based Hospice Care Agency
- Clarkston, WA
- NPI 1831100254
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1760485221
-
dba Tri State Medical Clinics
- Family Medicine Physician
- Clarkston, WA
- NPI 1932405693
Hospital
-
dba St. Joseph Regional Medical Center
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1083770192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994030189",
"telephone_number": "509-758-2254",
"fax_number": "509-758-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 EVERGREEN CT",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032874",
"telephone_number": "509-769-2254",
"fax_number": "509-769-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRAY",
"first_name": "GREGORY",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-31",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "00034506",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "ID",
"license": "M7482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8204851",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805208800",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.