MEDICARE: DR. DARAH A ASHTON DC

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	111N00000X	Chiropractor	272794	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	067499000	OTHER	OR	BLUE CROSS

General Provider Information

NPI Number	:	1437197563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARAH A ASHTON DC

Provider Business Mailing Address
First Line	:	5939 SE BELMONT ST UNIT A
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97215-1994
Country	:	US
Telephone Number	:	503-231-8877
Fax Number	:	503-231-8887

Provider Business Practice Location Address
First Line	:	5939 SE BELMONT ST
Second Line	:	SUITE A
City	:	PORTLAND
State	:	OR
Zip	:	97215-1925
Country	:	US
Telephone Number	:	503-231-8877
Fax Number	:	503-231-8887

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	05/16/2019

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