Provider Demographics
NPI:1265519888
Name:BRAY, CATHERINE L (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:L
Last Name:BRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:219 E JOHNSON AVENUE
Mailing Address - City:CHELAN
Mailing Address - State:WA
Mailing Address - Zip Code:98816-0368
Mailing Address - Country:US
Mailing Address - Phone:509-682-2511
Mailing Address - Fax:509-682-2515
Practice Address - Street 1:219 E. JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:CHELAN
Practice Address - State:WA
Practice Address - Zip Code:98816-0368
Practice Address - Country:US
Practice Address - Phone:509-682-2511
Practice Address - Fax:509-682-2515
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60105417207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8885419Medicare Oscar/Certification