MEDICARE: ASHLEY ROSE POND

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1235080797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ROSE POND

Provider Business Mailing Address
First Line	:	39303 PLAGMAN DR
Second Line	:
City	:	LEBANON
State	:	OR
Zip	:	97355-9786
Country	:	US
Telephone Number	:	541-451-0133
Fax Number	:

Provider Business Practice Location Address
First Line	:	65325 CLINE FALLS RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-8166
Country	:	US
Telephone Number	:	541-382-9410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ ASHLEY ROSE POND ” Practice Location

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