Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Lynn Gray

Individual provider Technician/Technologist · NPI 1831911536

Nicole Lynn Gray is a Technician/Technologist in Prineville, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

413 NW 3rd St 413 NW 3rd St
Prineville, OR 97754
Phone: (541) 291-3488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X · Licence NT-10189794 (OR)

Record details

NPI number1831911536
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 22, 2024
Mailing address413 Nw 3rd St, 413 Nw 3rd Street, Prineville, OR 97754