Provider Demographics
NPI:1942725171
Name:FRAZIER, MARGARET (MAGS) (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:MARGARET (MAGS)
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:MAGGIE (MAGS)
Other - Middle Name:
Other - Last Name:FRAZIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4900 SW GRIFFITH DRIVE, SUITE 157
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005
Mailing Address - Country:US
Mailing Address - Phone:503-517-8555
Mailing Address - Fax:503-517-8556
Practice Address - Street 1:4900 SW GRIFFITH DRIVE, SUITE 157
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005
Practice Address - Country:US
Practice Address - Phone:503-517-8555
Practice Address - Fax:503-517-8556
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-09
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17511235Z00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty