Individual
DR. JANICE L FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 NW WALNUT BLVD, STE A, CORVALLIS, OR 97330-3890
(541) 753-9497
(541) 753-7732
Mailing address
WILLAMETTE CARDIOLOGY, 410-A NW WALNUT BLVD, CORVALLIS, OR 97330-3890
(541) 753-9497
(541) 753-7732
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD 16473
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010475
—
OR
01
—
9312449006
TAX ID NUMBER
—
Enumeration date
11/28/2006
Last updated
07/09/2007
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