Organization
BRENT FRAZEE, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT WILLIAM FRAZEE M.D. (SOLE MEMBER)
(512) 635-9382
Entity
Organization
Contact information
Practice address
325 NW 21ST AVE STE 100, PORTLAND, OR 97209-1179
(503) 886-8588
(503) 200-1011
Mailing address
325 NW 21ST AVE STE 100, PORTLAND, OR 97209-1179
(503) 886-8588
(503) 200-1011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD179772
OR
Other
Enumeration date
01/23/2017
Last updated
10/15/2017
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