person
Margaret Diane Fraze, CADCI/QMHA-R
Addiction (Substance Use Disorder) Counselor in Tigard, Oregon
NPI 1174087613

Margaret Diane Fraze is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Margaret Diane Fraze practices in Tigard, OR and has the professional credentials of CADCI/QMHA-R. The NPI Number for Margaret Diane Fraze is 1174087613 and holds a License No. 21-QMHA-R-1493 (Oregon).

The current practice location address for Margaret Diane Fraze is 10763 Sw Greenburg Rd Ste 100, Tigard, OR and can be reached out via phone at 503-686-8159 and via fax at 503-621-0200.

Location: 10763 Sw Greenburg Rd Ste 100, Tigard, OR, 97205-1715
person
Provider Profile Details
NPI Number
1174087613
Provider Name
Margaret Diane Fraze
Credential
CADCI/QMHA-R
Provider Entity Type
Individual
Gender
Female
Address
10763 Sw Greenburg Rd Ste 100, Tigard, OR, 97205-1715
Phone Number
503-686-8159
Fax Number
503-621-0200
Provider Enumeration Date
01/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500809449 05 OR
institution
Provider Business Practice Location Address Details
Address
10763 Sw Greenburg Rd Ste 100
City
State
Zip
97223-5492
Phone Number
503-686-8159
Fax Number
503-621-0200
person
Provider Business Mailing Address Details
Address
10763 Sw Greenburg Rd Ste 100
City
State
Zip
97223-5492
Phone Number
503-686-8159
Fax Number
503-621-0200
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
22-10-10550 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
21-QMHA-R-1493 (Oregon)
Definition
Definition to come...
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