Jason M Gray

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

38872 Proctor Blvd
Sandy, OR 97055-8035

Phone

(503) 722-6950

Fax

(503) 722-6939

NPI assigned

Jun 5, 2007

Last updated

May 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Clackamas County

  dba Sandy Behavioral Health Center

  • Federally Qualified Health Center (FQHC)
  • Sandy, OR
  • NPI 1841442001
  NPD (past)
• County of Clackamas Office of County Auditor

  dba Hilltop Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukie, OR
  • NPI 1245269315
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1629270004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KAEN ROAD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023371",
            "telephone_number": "503-742-5300",
            "fax_number": "503-742-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38872 PROCTOR BLVD",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558035",
            "telephone_number": "503-722-6950",
            "fax_number": "503-722-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Renee Freeman
• Agaiby George, R.PH
• Andrea Gillette, RN
• Hannah Glaser
• Brianna R. Gover, RN
• Gresham Vision Center, Inc (sandy vision center)
• William Anthony Gromko, M.D.
• Victoria Elizabeth Guinn, DPT, PT
• Amy R Haase, RN
• Crystal Anne Hall, LPC, LMHC

• Counselor in Sandy, OR
• Providers in Sandy, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; 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.