Frazier, Nicole Lynn

Frazier, Nicole Lynn is an individual health care provider with primary practice located at 24076 Se Stark St Ste 230 , Gresham OR 97030-3385. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Frazier, Nicole Lynn can be contacted via phone (503) 488-2600.

Contact Information

Primary practice address
24076 Se Stark St Ste 230 Gresham OR 97030-3385
Phone: (503) 488-2600
Fax: (503) 465-5468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 22178 Oregon

Profile Details

NPI number 1639515448
LBN Legal business name Frazier, Nicole Lynn
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2013
Last updated Dec 8th, 2023 - about last year

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 1639515448 NPPES
Oregon MEDICAID 500705914
Oregon MEDICAID 2059811

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