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Deactivated NPI 1265984058 Deactivated / Inactive NPI Male Practitioner

David Bray

Specialist • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Bray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2016
NPI Deactivation Date December 20, 2023
Total Practice Duration ~7 Years of Practice (2016 – 2023)

Professional Overview & Biography Verified Profile Summary

David Bray was a registered Specialist practicing in Portland, OR. Throughout an active medical career spanning 7 years, David Bray provided care at the practice location at 805 SE 151ST AVE until profile deactivation on 2023-12-20.

Practice Location & Contact Primary Location

Practice Address

805 Se 151st Ave

Portland, OR 972332916

Telephone 9712717200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.2 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
410 Specialists

Practicing in Portland, OR (1153 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Deedra Lambert , CPSP

Peer Specialist

NPI 1023476801
Aklilu Feseha

Case Manager/Care Coordinator

NPI 1053159046
Brian Compton

Case Manager/Care Coordinator

NPI 1063103133
Lovie Cherry

Peer Specialist

NPI 1063894830
Cory Van Engers

Counselor - Mental Health

NPI 1154034759
Kristi Weeks , BA, MA

Counselor - Mental Health

NPI 1154700797

Bachelor of Arts, Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 20, 2023

Record deactivated on December 20, 2023

NPI Profile Active October 27, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 27, 2016

Registered at 805 SE 151ST AVE, PORTLAND, OR 972332916 (Tel: 9712717200)

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Updated Business Mailing Address October 27, 2016

Registered at 805 SE 151ST AVE, PORTLAND, OR 972332916 (Tel: 9712717200)

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Provider Name / Credentials Updated October 27, 2016

Recorded as DAVID BRAY

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2016

Specialist

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Initial NPI Registration & Enumeration October 27, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265984058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2016
Last Update: October 27, 2016
Deactivation Date: December 20, 2023

Mailing Address

805 Se 151st Ave

Portland, OR 972332916

Phone: 9712717200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.