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KEVIN GRAY LPN
NPI 1205337516
Counselor - Addiction (Substance Use Disorder) in Tigard, OR

Active since February 22, 2018
10763 SW GREENBURG RD, TIGARD, OR 97223(503) 684-8159 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2019, Feb 22, 2018 (2 updates tracked since 2018).

About Kevin Gray Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN GRAY LPN (NPI 1205337516) is an individual addiction (substance use disorder) provider in Tigard, Oregon, licensed in Oregon (201400138LPN) and active in the NPI registry since February 2018. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1205337516
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN GRAYCredential: LPN
Location Address10763 SW GREENBURG RDTigard, OR 97223-5492
Mailing Address6601 Ne 78th Ct Ste A3Portland, OR 97218-2823 · (503) 917-3617
Phone(503) 684-8159
Sole ProprietorNo
Enumeration DateFebruary 22, 2018
Last NPPES UpdateNovember 7, 20192 updates tracked since enumeration
✔ NPI 1205337516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 201400138LPN
10763 SW GREENBURG RD, Tigard, OR 97223
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Secondary Practice Location 1

Location 16601 NE 78th Ct Ste A3Portland, OR 97218-2823 · Phone (503) 252-3949

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETCHEN ANNA SCHNEIDER RN
Registered Nurse
10763 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 558-6979
GRISELDA HOLDEN LPN
Licensed Practical Nurse
10763 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 684-8159
CATHERINE GONZALEZ
Licensed Practical Nurse
10763 SW GREENBURG RD, ST 100
TIGARD, OR 97223
Washington County (503) 684-8159
MELINDA SUE BORGMAN CRM
Counselor (Mental Health)
10763 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 684-8159
CRC HEALTH OREGON, LLC
Clinic/Center (Methadone)
10763 SW GREENBURG RD, STE 100
TIGARD, OR 97223
Washington County (503) 684-8159
RACHEL M BORTON-MONAGHAN
Licensed Practical Nurse
10763 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 684-8159
CHRISTOPHER BRENT BUCAR
Counselor (Addiction (Substance Use Disorder))
10763 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 684-8159
ANTHONY MICHELL LATHAN CADC-1/QMHP
Counselor (Addiction (Substance Use Disorder))
10763 SW GREENBURG RD
TIGARD, OR 97223
Washington County (503) 684-8159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Gray's NPI number?

The NPI number for Kevin Gray is 1205337516. It was assigned to this individual provider in the NPPES registry on February 22, 2018.

Where is Kevin Gray located?

Kevin Gray practices at 10763 SW Greenburg Rd, Tigard, OR 97223. The listed phone number is (503) 684-8159.

What is Kevin Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kevin Gray was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.