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Individual

HANNAH P FRAZEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
14617 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-1416
(503) 962-1782
Mailing address
PO BOX 3158, ATTENTION ZOOMCARE, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA163028
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500703586
OR
Enumeration date
03/15/2012
Last updated
05/31/2016
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