TODD DOUGLAS FRARY

GRESHAM, OR
NPI1144468505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: OR  8494)
Enumeration Date2009-01-22
Last Update Date2010-11-10
Business Address
Mr. TODD DOUGLAS FRARY LPTA
1941 SW LAKE PL
GRESHAM, OR 97080-9798
Phone number: 253-709-0271
Mailing Address
Mr. TODD DOUGLAS FRARY LPTA
1941 SW LAKE PL
GRESHAM, OR 97080-9798
Phone number: 253-709-0271
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