Sorrell Jolene Gray

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

115631 Issued in OR

Practice address

7105 SW Hampton Strret
Portland, OR 97223

Phone

(503) 624-9610

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sorrell Jolene Sabido Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1598420937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 SW HAMPTON STREET",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-997-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 SW HAMPTON STRRET",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-624-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SORRELL",
        "middle_name": "JOLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "OR",
            "license": "115631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SORRELL",
            "last_name": "SABIDO",
            "middle_name": "JOLENE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rafael Gray, MD
• Rosemary S Gray
• Sarah C Gray, LCSW
• Savannah L. Gray, RN
• Siobhan M. Wilson Gray, M.D.
• Susan D. Gray, D.C.
• Sydney Margaret Gray, RN
• Jane Elizabeth Graybill
• Robert Allen Graybill, ND
• Kellie L Graybosch, PA-C

• Dental Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Dental Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.