Individual provider · Type 1 NPI

Matthew Fraver

Specialist · Portland, OR

NPI number 1790106409 Active

Practice location

1222 SE Division St
Portland, OR 97202-1017

Call (503) 231-9879 Map

Fax (503) 233-4732

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X19779 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1790106409

Matthew Fraver's National Provider Identifier is 1790106409, issued on Dec 23, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Dec 23, 2013.