Individual
DR. MATT S ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2090 NE WYATT CT STE 101, BEND, OR 97701-7691
(541) 382-6447
(541) 330-7413
Mailing address
2090 NE WYATT CT STE 101, BEND, OR 97701-7691
(541) 382-6447
(541) 330-7413
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD182192
PW
208800000X
Urology Physician
Primary
MD60620802
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500724795
—
OR
Enumeration date
11/06/2011
Last updated
07/21/2022
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