Whalio Doctors

NPI 1639700933

Preston Ray Frase

Practitioner Physical Therapist Gladstone, OR

Practice location

Address
220 E Hereford St, Gladstone, OR 97027-2165
Phone
(503) 656-0393
Mailing address
25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties (2)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 63387 (OR)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 63887 (OR)

Registry record

NPI
1639700933
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jan 2020
Record last updated
27 Jan 2020

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.