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NPI Code Detail

MEDICARE: MRS. ASHLIE SHALYN NEWBILL

MEDICARE: MRS. ASHLIE SHALYN NEWBILL
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
1101YM0800XMental Health Counselor
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1871031500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLIE SHALYN NEWBILL
Provider Business Mailing Address
First Line : 1695 NW DIVISION ST
Second Line : APT 6
City : CORVALLIS
State : OR
Zip : 97330-2057
Country : US
Telephone Number : 541-521-6762
Fax Number :
Provider Business Practice Location Address
First Line : 345 MONMOUTH AVE N
Second Line :
City : MONMOUTH
State : OR
Zip : 97361-1329
Country : US
Telephone Number : 503-838-8758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2017
Last Update Date : 03/18/2019

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