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ALEXANDRA LYNN GRAY PA
NPI 1396415741
Physician Assistant in Gresham, OR

Active since September 16, 2021PECOS EnrolledAccepts Medicare Assignment
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080(503) 666-5050 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2025, Jan 7, 2025, Sep 16, 2021 (3 updates tracked since 2021).

About Alexandra Lynn Gray Pa NPPES

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

ALEXANDRA LYNN GRAY PA (NPI 1396415741) is an individual physician assistant in Gresham, Oregon, licensed in Oregon (PA205986) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396415741
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA LYNN GRAYCredential: PA
Location Address2850 SE POWELL VALLEY RDGresham, OR 97080
Mailing AddressPo Box 3777Portland, OR 97208-3777
Phone(503) 666-5050
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 16, 2021
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1396415741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA205986
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2850 SE POWELL VALLEY RD, Gresham, OR 97080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Lynn Gray Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800285206
PECOS Enrollment IDI20211104002470, I20250130002934
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. MARK ERIC HOSKO MD
General Practice
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
SOMMER VERLEY FNP-C
Nurse Practitioner
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
MR. BRANDON JEFFREY PARSONS PA-CERTIFIED
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
MRS. THERESA RENE JONES PA-C
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
BRYHANNA CHRISTINECHARLES MCCULLY PAC
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
VALLEYVIEW INJURY & PHYSICAL MEDICINE, PC
Preventive Medicine (Public Health & General Preventive Medicine)
2850 SE POWELL VALLEY RD, SUITE 205
GRESHAM, OR 97080
Multnomah County (503) 489-1998
ROBERT LOUIS FOX PA
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050
JESSICA L CYPHERT PA-C
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Multnomah County (503) 666-5050

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 Alexandra Gray's NPI number?

The NPI number for Alexandra Gray is 1396415741. It was assigned to this individual provider in the NPPES registry on September 16, 2021.

Where is Alexandra Gray located?

Alexandra Gray practices at 2850 SE Powell Valley Rd, Gresham, OR 97080. The listed phone number is (503) 666-5050.

What is Alexandra Gray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexandra Gray enrolled in Medicare?

Yes. Alexandra Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alexandra Gray affiliated with any hospitals?

According to CMS data, Alexandra Gray is affiliated with Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Alexandra Gray was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.