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NPI Code Detail

MEDICARE: PAUL R ASH MD, PH. D

MEDICARE: PAUL R ASH MD, PH. D
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
12084N0400XNeurology Physician10051OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063417392
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL R ASH MD, PH. D
Provider Business Mailing Address
First Line : PO BOX 4399
Second Line :
City : PORTLAND
State : OR
Zip : 97208-4399
Country : US
Telephone Number : 503-413-3900
Fax Number : 503-413-3710
Provider Business Practice Location Address
First Line : 19300 SW 65TH AVE
Second Line :
City : TUALATIN
State : OR
Zip : 97062-7706
Country : US
Telephone Number : 503-413-8407
Fax Number : 503-413-6951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 04/09/2018

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