NPI 1639515448 · live from the CMS NPI Registry
Nicole Lynn Frazier, Au.D.
Audiologist-Hearing Aid Fitter in Gresham, OR. National Provider Identifier 1639515448, active.
NPI record
| NPI | 1639515448 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 24076 Se Stark St Ste 230, Gresham, OR 97030 |
| Practice phone | 503-488-2600 |
| Mailing address | 541 Ne 20th Ave Ste 225, Portland, OR 97232 |
| Enumerated | May 20, 2013 |
| Last updated | September 29, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter primary | 237600000X | 22178 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.