Individual
TRACI M. FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., F.N.P.
Contact information
Practice address
100 N. EAST STREET, JOSEPH, OR 97846
(541) 432-7777
(541) 432-7170
Mailing address
601 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-5460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
093000596N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276679
—
OR
Enumeration date
06/01/2006
Last updated
12/27/2016
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