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NPI Code Detail

MEDICARE: MR. KEVIN J ASHWORTH LPC

MEDICARE: MR. KEVIN J ASHWORTH LPC
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional CounselorC3942OR

General Provider Information

NPI Number : 1346496247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN J ASHWORTH LPC
Provider Business Mailing Address
First Line : 32 NE 11TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-3001
Country : US
Telephone Number : 360-798-0868
Fax Number :
Provider Business Practice Location Address
First Line : 32 NE 11TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97232-3001
Country : US
Telephone Number : 503-542-7635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2008
Last Update Date : 01/15/2024

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Directions to “ MR. KEVIN J ASHWORTH LPC” Practice Location

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