Individual
MR. SCOTT EDWARD FRAZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-5101
(503) 226-6321
(503) 227-3422
Mailing address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-5101
(503) 226-6321
(503) 227-3422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01407
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500603822
—
OR
05
—
8537748
—
WA
Enumeration date
10/30/2008
Last updated
09/10/2015
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