Healthcare Provider Details

I. General information

NPI: 1598317141
Provider Name (Legal Business Name): ASHLEY ELIZABETH FOLKERS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2019
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ALPHA WAY
CLE ELUM WA
98922-1045
US

IV. Provider business mailing address

603 S CHESTNUT ST
ELLENSBURG WA
98926-3875
US

V. Phone/Fax

Practice location:
  • Phone: 509-674-5331
  • Fax:
Mailing address:
  • Phone: 509-933-8693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP61169665
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: