Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW FRASER
Active Sole ProprietorANDREW FRASER is a Medical Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1720436611 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PORTLAND, OR
Registration Details
- NPI Number
- 1720436611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2016 (10.248332565766 yrs)
- Last Updated
- Nov 11, 2021
- License
-
PA184554 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4411 SW VERMONT STPORTLAND, OR, 972191020Browse OR providers · Browse ZIP 97219
- Phone
- 5034949992
- Fax
- 5034941967
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| IZABELA MACIOLEK | PA-C | 1699771238 |
| PATRICK M BIRBECK | PAC | 1851397400 |
| NICOLE E. PARKER | PA-C | 1669478210 |
| LORI H KELLY | PA-C | 1689670226 |
| ROBERT TODD DIXON | P.A. | 1982602421 |
| ALYSSA RACHAEL PACE | PA-C | 1275527483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.