MEDICARE: ASHLEE GARAU-BRITTINGHAM

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	101YM0800X	Mental Health Counselor	C6573	OR

General Provider Information

NPI Number	:	1770957615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE GARAU-BRITTINGHAM

Provider Business Mailing Address
First Line	:	857 SW THEATER DR
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-3509
Country	:	US
Telephone Number	:	541-610-6504
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 10TH AVE E UNIT 208
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-6244
Country	:	US
Telephone Number	:	541-610-6504
Fax Number	:

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

Provider Enumeration Date	:	11/16/2015
Last Update Date	:	03/11/2025

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