Individual
SAMUEL FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNS
Contact information
Practice address
24900 SE STARK ST STE 109, GRESHAM, OR 97030-3381
(503) 413-7162
Mailing address
2603 CARLOW DR, AUSTIN, TX 78745-4346
(512) 507-6664
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
10037912
OR
364S00000X
Clinical Nurse Specialist
1087151
TX
Other
Enumeration date
07/25/2022
Last updated
05/08/2025
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