Healthcare Provider Details

I. General information

NPI: 1831000876
Provider Name (Legal Business Name): ASHLEY MASLACH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY KIRKHART

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 E 11TH AVE
EUGENE OR
97401-3247
US

IV. Provider business mailing address

PO BOX 295
OAKRIDGE OR
97463-0295
US

V. Phone/Fax

Practice location:
  • Phone: 541-214-8083
  • Fax:
Mailing address:
  • Phone: 541-214-8083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: