NPI 1194451971

Samuel Frazier, APRNCNS

Practitioner Clinical Nurse Specialist Gresham, OR

Practice location

Address: 24900 SE Stark St STE 109, Gresham, OR 97030-3381
Phone: (503) 413-7162
Mailing address: 2603 Carlow Dr, Austin, TX 78745-4346

Registered specialties (2)

Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 10037912 (OR)

Other Clinical Nurse Specialist providers in Oregon →

Clinical Nurse Specialist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X Licence 1087151 (TX)

Registry record

NPI: 1194451971
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2022
Record last updated: 8 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.