Individual
DR. NICOLE LYNN FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
24076 SE STARK ST STE 230, GRESHAM, OR 97030-3385
(503) 488-2600
(503) 465-5468
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
22178
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2059811
—
WA
05
—
500705914
—
OR
Enumeration date
05/20/2013
Last updated
11/26/2024
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