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1477339315 NPI number — ASHLIE RUTHANNA BUSTILLOS

NPI Number: 1477339315
Health Care Provider/Practitioner: ASHLIE RUTHANNA BUSTILLOS

Information about “1477339315” NPI (ASHLIE RUTHANNA BUSTILLOS) exists in 1477339315 in HTML format HTML  |  1477339315 in plain Text format TXT  |  1477339315 in PDF (Portable Document Format) PDF  |  1477339315 in an XML format XML  formats.

NPI Number : 1477339315 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477339315",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUSTILLOS",
    "FirstName": "ASHLIE",
    "MiddleName": "RUTHANNA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STEWART",
    "OtherFirstName": "ASHLIE",
    "OtherMiddleName": "RUTHANNA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LPC, LAC, CADCIII",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6600 SW 105TH AVE STE 120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEAVERTON",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97008-8800",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "971-245-1362",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6600 SW 105TH AVE STE 120",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEAVERTON",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97008-8800",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "971-245-1362",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/06/2023",
    "LastUpdateDate": "09/06/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "LPC.0018832",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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