OrganizationActive
Andrea M Fraser DDS LLC
NPI 1700569977 · Customized Equipment (DME) · Portland, OR
Provider details
- NPI number
- 1700569977
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Andrea Fraser, General Dentist(971) 271-7478
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9900 Sw Wilshire St Ste 120
Portland, OR 97225-5065
Phone: (971) 271-7478
Street-level locationGet directions
Mailing address
9900 Sw Wilshire St Ste 120
Portland, OR 97225-5065
Registry dates
- Enumerated
- 2023-08-14
- Last updated
- 2024-08-11
- Certified
- 2024-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.