Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Fraser

Individual provider Physician Assistant · NPI 1720436611

Andrew Fraser is a Physician Assistant in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4411 SW Vermont St
Portland, OR 97219-1020
Phone: (503) 494-9992
Fax: (503) 494-1967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA184554 (OR)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1720436611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 1, 2016
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing address4411 Sw Vermont St, Portland, OR 97219-1020

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