MEDICARE: KATHRYN LYNNE ASHTON APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10054762	OR
2	363L00000X	Nurse Practitioner	10054762	OR

General Provider Information

NPI Number	:	1700569142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN LYNNE ASHTON APRN

Provider Business Mailing Address
First Line	:	2440 WILLAMETTE ST STE 201&202
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-3170
Country	:	US
Telephone Number	:	541-234-3090
Fax Number	:	541-735-9480

Provider Business Practice Location Address
First Line	:	2440 WILLAMETTE ST STE 201&202
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-3170
Country	:	US
Telephone Number	:	541-234-3090
Fax Number	:	541-735-9480

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

Provider Enumeration Date	:	08/11/2023
Last Update Date	:	01/12/2026

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Directions to “ KATHRYN LYNNE ASHTON APRN” Practice Location

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