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NPI Code Detail

MEDICARE: ASHLEY ELIZABETH INGALLS CPHT

MEDICARE:   ASHLEY ELIZABETH INGALLS  CPHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
2183700000XPharmacy TechnicianPTEC.VA.00067598WA

General Provider Information

NPI Number : 1033047642
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ELIZABETH INGALLS CPHT
Provider Business Mailing Address
First Line : 2330 YEW ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-3942
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2330 YEW ST
Second Line :
City : BELLINGHAM
State : WA
Zip : 98229-3942
Country : US
Telephone Number : 360-685-5019
Fax Number : 360-734-1454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ ASHLEY ELIZABETH INGALLS CPHT” Practice Location

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