Healthcare Provider Details

I. General information

NPI: 1013741222
Provider Name (Legal Business Name): ASHLEY THOMAS APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 NE 139TH ST STE 265
VANCOUVER WA
98686-2311
US

IV. Provider business mailing address

2101 NE 139TH ST STE 265
VANCOUVER WA
98686-2311
US

V. Phone/Fax

Practice location:
  • Phone: 360-487-2700
  • Fax:
Mailing address:
  • Phone: 360-487-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number5151
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number10033719
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberAP61606809
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: