Individual provider · Type 1 NPI

Samuel Frazier, APRN, CNS

Clinical Nurse Specialist · Gresham, OR

NPI number 1194451971 Active

Practice location

24900 SE Stark St Ste 109
Gresham, OR 97030-3381

Mailing address

2603 Carlow Dr
Austin, TX 78745-4346

Other practice locations

  • 2603 Carlow Dr, Austin, TX 78745-4346 · (512) 507-6664

Specialties and licenses

TaxonomyCodeLicense
Clinical Nurse Specialist 364S00000X1087151 (TX)
Clinical Nurse Specialist Primary 364S00000X10037912 (OR)

Clinical Nurse Specialist: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

6 other providers at this address

About NPI 1194451971

Samuel Frazier, APRN, CNS's National Provider Identifier is 1194451971, issued on Jul 25, 2022. The primary taxonomy on file is Clinical Nurse Specialist (364S00000X), and the practice location is in Gresham, OR. The record was last updated on May 8, 2025.