Individual
MARGARET DIANE FRAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I/QMHA-R
Contact information
Practice address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(503) 686-8159
(503) 621-0200
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-10-10550
OR
101YM0800X
Mental Health Counselor
21-QMHA-R-1493
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500809449
—
OR
Enumeration date
01/29/2019
Last updated
01/03/2024
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