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NPI Code Detail

MEDICARE: DR. ASHLEE ELIZABETH MCMICKEN PT, DPT

MEDICARE:  DR. ASHLEE ELIZABETH MCMICKEN  PT, DPT
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
1225100000XPhysical Therapist35822CA
2225100000XPhysical Therapist64014OR

General Provider Information

NPI Number : 1467683912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEE ELIZABETH MCMICKEN PT, DPT
Provider Business Mailing Address
First Line : 19721 S HIGHWAY 213
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4190
Country : US
Telephone Number : 503-305-8455
Fax Number :
Provider Business Practice Location Address
First Line : 19721 S HIGHWAY 213
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4190
Country : US
Telephone Number : 503-305-8455
Fax Number : 503-342-6519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2009
Last Update Date : 08/05/2022

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Directions to “ DR. ASHLEE ELIZABETH MCMICKEN PT, DPT” Practice Location

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