Individual
CHRISTOPHER FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 411, PORTLAND, OR 97210-3033
(503) 413-3900
(503) 413-3710
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MD00046824
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD161588
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8458887
—
WA
Enumeration date
07/25/2006
Last updated
06/26/2013
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