Individual
MARILYN JEAN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2870 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5127
(541) 994-9191
(541) 994-9034
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16960
OR
Other
Enumeration date
11/28/2006
Last updated
11/04/2020
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