Individual
ALLYX ANNE LOUISE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-2731
Mailing address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
07/17/2023
Last updated
10/23/2024
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