Healthcare Provider Details

I. General information

NPI: 1073082046
Provider Name (Legal Business Name): ASHLEY RAE CHRISTENSEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW 11TH ST
HERMISTON OR
97838-8605
US

IV. Provider business mailing address

3001 ST ANTHONY WAY
PENDLETON OR
97801-3836
US

V. Phone/Fax

Practice location:
  • Phone: 541-567-5305
  • Fax: 541-303-8763
Mailing address:
  • Phone: 541-663-6381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61002005
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberAP61002005
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number201908188NP-PP
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAP61002005
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201606211RN
License Number StateOR
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201908188NP-PP
License Number StateOR
# 7
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN60386751
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: