Individual
MRS. KERRI ELIZABETH FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 255-4205
Mailing address
6655 SE 70TH AVE, PORTLAND, OR 97206-7349
(503) 788-5223
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
—
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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