A picture frame hanger is provided with an elongate strip having a base for mounting upon an upright support surface. The base includes at least one cavity extending inward from opposing surfaces to intersect and collectively form an aperture for receiving a fastener at an angle to one of the at least one cavities. The strip includes a series of teeth and a key along a length of the strip. A carriage is mounted for translation along the elongate strip, and includes a keyway that cooperates with the key for orienting the carriage relative to the strip. A flange is provided for receiving a picture frame support member. A latch is pivotally connected to the carriage for engaging the teeth. A user may disengage the latch from the strip for adjusting an upright position of the carriage. A method for forming the aperture of the elongate strip is provided.