Provider Demographics
NPI:1801779962
Name:FRASER, ALANNA (PCA)
Entity type:Individual
Prefix:
First Name:ALANNA
Middle Name:
Last Name:FRASER
Suffix:
Gender:F
Credentials:PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 SW ROOSEVELT AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1225
Mailing Address - Country:US
Mailing Address - Phone:503-367-3224
Mailing Address - Fax:
Practice Address - Street 1:20273 REED LN
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-2123
Practice Address - Country:US
Practice Address - Phone:425-654-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health