Individual provider · Type 1 NPI

Andrew Fraser

Medical Physician Assistant · Portland, OR

NPI number 1720436611 Active

Practice location

4411 SW Vermont St
Portland, OR 97219-1020

Call (503) 494-9992 Map

Fax (503) 494-1967

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA184554 (OR)

Medical Physician Assistant: Definition to come...

31 other providers at this address

Other medical physician assistant providers in Portland

See all in Portland →

About NPI 1720436611

Andrew Fraser's National Provider Identifier is 1720436611, issued on Jun 1, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Nov 11, 2021.