Individual
FRAZIER HUNT GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
525 SE WASHINGTON ST, DALLAS, OR 97338-2834
(503) 623-8301
(503) 623-7337
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173500
—
OR
Enumeration date
07/07/2006
Last updated
01/07/2008
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