MEDICARE: WILLIAM E ASHBY 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
1	207R00000X	Internal Medicine Physician	MD08822	OR
2	207R00000X	Internal Medicine Physician	MD00013587	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	154990	OTHER	WA	LABOR & INDUSTRY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740260876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM E ASHBY M.D.

Provider Business Mailing Address
First Line	:	56 N COLLEGE AVE UNIT 2A
Second Line	:
City	:	COLLEGE PLACE
State	:	WA
Zip	:	99324-1048
Country	:	US
Telephone Number	:	509-529-4850
Fax Number	:	509-525-5184

Provider Business Practice Location Address
First Line	:	56 N COLLEGE AVE UNIT 2A
Second Line	:
City	:	COLLEGE PLACE
State	:	WA
Zip	:	99324-1048
Country	:	US
Telephone Number	:	509-529-4850
Fax Number	:	509-525-5184

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	10/19/2021

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Directions to “ WILLIAM E ASHBY M.D.” Practice Location

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