ANDREW GRAY MD
NPI 1770287138
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is Andrew Gray's NPI number?

The NPI number for Andrew Gray is 1770287138. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Andrew Gray's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Gray was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 29, 2023PECOS Enrolled

2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 413-8407 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2026, Mar 29, 2023 (2 updates tracked since 2023).

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About Andrew Gray Md NPPES

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

ANDREW GRAY MD (NPI 1770287138) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Western Michigan Un Homer Stryker School Of Med (2023).

NPPES Registry Identity

NPI1770287138

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANDREW GRAYCredential: MD

Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623

Mailing AddressPo Box 3777Portland, OR 97208-3777

Phone(503) 413-8407

Sole ProprietorYes

Medical School CMSWestern Michigan Un Homer Stryker School Of MedGraduated 2023

Enumeration DateMarch 29, 2023

Last NPPES UpdateMay 13, 20262 updates tracked since enumeration

NPPES CertifiedMay 13, 2026

✔ NPI 1770287138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License PG230501 (OR)

2801 N GANTENBEIN AVE, Portland, OR 97227

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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 (PECOS)

Andrew Gray Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567828957

PECOS Enrollment IDI20260528002999

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 Emanuel Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380007

Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County

Emergency services Birthing friendly

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.

KARI MAGNUSSEN MS

Genetic Counselor, MS