Active NPI
Timothy J Gray DO LLC
- Family Medicine Physician
- Forest Grove, OR
National Provider Identifier
1477518694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TIMOTHY J GRAY DO LLC
- Practice address
- 1909 Mountain View LN
#200
Forest Grove, OR 97116-2893 - Phone
- (503) 359-4773
- Fax
- (503) 359-3809
- NPI assigned
- Apr 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy J. Gray Sr., D.O.
- Title
- Owner
- Phone
- (503) 359-4773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OR | Primary |
Addresses
Primary practice location
1909 Mountain View LN
#200
Forest Grove, OR 97116-2893
Mailing address
1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894
Phone (503) 359-4773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022891 | Medicaid | OR |
Other names 1
- Mountain View Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050114000392 | OR | Part B Supplier - Clinic/Group Practice | 1355390584 |
Receives reassigned benefits from 22 practitioners Practice locations: Forest Grove, OR; Hillsboro, OR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0666738 | Mountain View Medical Center | Certificate of waiver | Jan 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
Interoperability endpoints
- https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Forest Grove, OR
- NPI 1548520869
Family Medicine, OR
-
- Family Medicine Physician
- Forest Grove, OR
- NPI 1003810441
Family Medicine, OR
-
- Family Medicine Physician
- Forest Grove, OR
- NPI 1699770057
Family Medicine, OR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1477518694",
"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": "#200",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162893",
"telephone_number": "503-359-4773",
"fax_number": "503-359-3809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY J GRAY DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-19",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-359-4773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022891",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain View Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}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.
- 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.