SAMUEL FRAZIER

GRESHAM, OR
NPI1194451971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy364S00000X Clinical Nurse Specialist
(Licence: OR  10037912)
Additional Taxonomies364S00000X Clinical Nurse Specialist
(Licence: TX  1087151)
Enumeration Date2022-07-25
Last Update Date2025-05-08
Business Address
SAMUEL FRAZIER APRN, CNS
24900 SE STARK ST STE 109
GRESHAM, OR 97030-3381
Phone number: 503-413-7162
Mailing Address
SAMUEL FRAZIER APRN, CNS
2603 CARLOW DR
AUSTIN, TX 78745-4346
Phone number: 512-507-6664