MEDICARE: SCOTT E ASHLEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD24702	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912076431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT E ASHLEY MD

Provider Business Mailing Address
First Line	:	2120 EXCHANGE ST
Second Line	:	STE 209
City	:	ASTORIA
State	:	OR
Zip	:	97103-3364
Country	:	US
Telephone Number	:	503-338-2993
Fax Number	:	503-338-2996

Provider Business Practice Location Address
First Line	:	2120 EXCHANGE ST
Second Line	:	STE 209
City	:	ASTORIA
State	:	OR
Zip	:	97103-3364
Country	:	US
Telephone Number	:	503-338-2993
Fax Number	:	503-338-2996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	09/24/2012

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Directions to “ SCOTT E ASHLEY MD” Practice Location

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