Andrea M Fraser Dds Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
ANDREA M FRASER DDS LLC	1700569977	2024-08-11

The organization Andrea M Fraser Dds Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1700569977. Registration indicates Andrea M Fraser Dds Llc is a provider of services with a specialization in Suppliers, Durable Medical Equipment & Medical Supplies (Durable Medical Equipment & Medical Supplies: Customized Equipment, ) (Durable Medical Equipment & Medical Supplies Customized Equipment, Suppliers) (Durable Medical Equipment & Medical Supplies, )

Entity Type	Organization

Provider Organization	ANDREA M FRASER DDS LLC
Practice Office Address	9900 SW WILSHIRE ST STE 120 PORTLAND, OR US
Practice Office Telephone	9712717478
Mailing Address	9900 SW WILSHIRE ST STE 120 PORTLAND, OR 972255065 US
Authorized Official	ANDREA MARIE FRASER, GENERAL DENTIST 9712717478

HPT Codes

Code	Practice	License No State
332BC3200X PRIMARY	Suppliers Durable Medical Equipment & Medical Supplies Durable Medical Equipment & Medical Supplies: Customized Equipment Durable Medical Equipment & Medical Supplies Customized Equipment Suppliers Durable Medical Equipment & Medical Supplies

OPI Codes

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