ANDREW FRASER

PORTLAND, OR
NPI1720436611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA184554)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2016-06-01
Last Update Date2021-11-11
Business Address
ANDREW FRASER
4411 SW VERMONT ST
PORTLAND, OR 97219-1020
Phone number: 503-494-9992
Mailing Address
ANDREW FRASER
4411 SW VERMONT ST
PORTLAND, OR 97219-1020
Phone number: 503-494-9992