Individual
JEFFERY FRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(971) 310-4735
Mailing address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8745
OR
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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