Individual provider · Type 1 NPI

Margaret Diane Fraze, CADC I/QMHA-R

Addiction (Substance Use Disorder) Counselor · Tigard, OR

NPI number 1174087613 Active

Practice location

10763 SW Greenburg Rd Ste 100
Tigard, OR 97223-5492

Call (503) 686-8159 Map

Fax (503) 621-0200

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X21-QMHA-R-1493 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22-10-10550 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174087613

Margaret Diane Fraze, CADC I/QMHA-R's National Provider Identifier is 1174087613, issued on Jan 29, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tigard, OR. The record was last updated on Jan 3, 2024.