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NPI Code Detail

MEDICARE: ASHLEY E HART M.D.

MEDICARE:   ASHLEY E HART  M.D.
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
1207Q00000XFamily Medicine PhysicianMD157763OR

General Provider Information

NPI Number : 1609000942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY E HART M.D.
Provider Business Mailing Address
First Line : 5119 NE 57TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97218-2584
Country : US
Telephone Number : 503-215-8050
Fax Number :
Provider Business Practice Location Address
First Line : 5119 NE 57TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97218-2584
Country : US
Telephone Number : 503-215-8050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2009
Last Update Date : 10/25/2024

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Directions to “ ASHLEY E HART M.D.” Practice Location

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