Individual
KATLYNN DIANNE FRASIEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 E FOURTH AVE, SUTHERLIN, OR 97479-9644
(541) 852-9550
Mailing address
1222 E FOURTH AVE, SUTHERLIN, OR 97479-9644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020598
OR
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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