Individual provider Active NPI

Laurie P Gray, MD

  • Pediatrics Physician
  • Eugene, OR
National Provider Identifier
1508060179
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD213086 Issued in OR
Practice address
995 Willagillespie Rd
Eugene, OR 97401-2186
Phone
(541) 484-5437
Fax
(541) 484-0155
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M9326 TX
Pediatrics Physician 208000000X MD213086 OR Primary

Addresses

Primary practice location

995 Willagillespie Rd
Eugene, OR 97401-2186

Mailing address

995 Willagillespie Rd
Eugene, OR 97401-2186
Phone (541) 484-5437

Other practice location 1

4010 Aerial Way
Eugene, OR 97402-9757
Phone (458) 205-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090723000655 TX Practitioner - Pediatric Medicine 0042362915 Reassigns benefits to 1 organization
I20251103003214 OR Practitioner - Pediatric Medicine 0042362915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1115 SE 164TH Ave Dept
Suite 358
Vancouver, WA 98683-8004

4010 Aerial Way
Eugene, OR 97402-9757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD213086ORMDPediatrics Physician
M9326TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children'S Physician Network Pediatrics CurrentSince Jun 20, 2011 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Jun 20, 2011 Accepting new patients
Peacehealth Medical Group Pediatrics CurrentSince Oct 20, 2025 Accepting new patients
Eugene Pediatric Associates LLC PastSince Dec 13, 2022 Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

701 Matlock Rd
Mansfield, TX 76063
Phone (817) 453-5437

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1508060179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 WILLAGILLESPIE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012186",
            "telephone_number": "541-484-5437",
            "fax_number": "541-484-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 WILLAGILLESPIE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012186",
            "telephone_number": "541-484-5437",
            "fax_number": "541-484-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 Aerial Way",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974029757",
            "country_code": "US",
            "telephone_number": "458-205-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LAURIE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M9326",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD213086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.