Organization
ANDREA M FRASER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MARIE FRASER DDS (GENERAL DENTIST)
(971) 271-7478
Entity
Organization
Contact information
Practice address
9900 SW WILSHIRE ST STE 120, PORTLAND, OR 97225-5065
(971) 271-7478
Mailing address
9900 SW WILSHIRE ST STE 120, PORTLAND, OR 97225-5065
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/11/2024
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