Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

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

Practice location Address checks out

4411 SW Vermont St
Portland, OR 97219-1020
Phone: (503) 494-9992
Fax: (503) 494-1967
Show map & directions

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients104
Services billed 146 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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