MEDICARE: DR. BRIAN D ASHDOWN DPM

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	213ES0131X	Foot Surgery Podiatrist	DP00309	OR

Other Identifiers

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

General Provider Information

NPI Number	:	1346347432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN D ASHDOWN DPM

Provider Business Mailing Address
First Line	:	2605 WILLETTA ST SW STE D2
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97321-3451
Country	:	US
Telephone Number	:	541-928-3413
Fax Number	:	877-437-6974

Provider Business Practice Location Address
First Line	:	2605 WILLETTA ST SW STE D2
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97321-3451
Country	:	US
Telephone Number	:	541-928-3413
Fax Number	:	877-437-6974

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/01/2020

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