Individual
MICHELLE FRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-8740
Mailing address
1171 W ELIAS DR, MERIDIAN, ID 83642-5290
(503) 869-9413
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3171650
ID
Other
Enumeration date
10/31/2018
Last updated
05/27/2025
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