Individual
BREA ELISE FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1127
(541) 274-6311
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 274-6311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA169677
OR
Other
Enumeration date
09/17/2014
Last updated
05/04/2017
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