Fraser, Nola R

Fraser, Nola R is an individual health care provider with primary practice located at 1608 S 24Th Ave Ste 102 , Yakima WA 98902-5719. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fraser, Nola R can be contacted via phone (509) 248-6113.

Contact Information

Primary practice address
1608 S 24Th Ave Ste 102 Yakima WA 98902-5719
Phone: (509) 248-6113
Fax: (509) 457-8941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4797 Oregon

Profile Details

NPI number 1568432755
LBN Legal business name Fraser, Nola R
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Sep 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568432755 NPPES
Oregon Other 885802001 BLUE CROSS BLUE SHIELD
Oregon MEDICAID 118096 BLUE CROSS BLUE SHIELD

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