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General NPI Number Information
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NPI Number | 1568998763
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Entity Type | Individual
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Provider Name | ASHLEY WATTS PHD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2017
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2659 COMMERCIAL ST SE STE 282
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City | SALEM
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State | OR
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Zip | 97302-4385
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Country | US
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Telephone | 971-301-4771
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Fax | 971-345-8179
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Provider Business Mailing Address
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Address Line | PO BOX 13883
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City | SALEM
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State | OR
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Zip | 97309-1883
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Country | US
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Telephone | 971-301-4771
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Fax | 971-345-8179
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2864
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2864
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License Number State | OR
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