Katlynn Dianne Frasieur
Individual provider Active NPI Pharmacist · Sutherlin, OR
NPI 1932075603 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1932075603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0020598 (OR)
- Practice address
- 1222 E Fourth Ave
Sutherlin, OR 97479-9644 - Phone
- (541) 852-9550
- NPI assigned
- Oct 10, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0020598 | OR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0020598 | OR | Yes |
Addresses
Primary practice location
1222 E Fourth Ave
Sutherlin, OR 97479-9644
Mailing address
1222 E Fourth Ave
Sutherlin, OR 97479-9644
Other providers in Sutherlin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.