Individual
MRS. ASHLEY HENNESSEY MCMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
308622
LA
208600000X
Surgery Physician
Primary
MD21180
OR
2086S0102X
Surgical Critical Care Physician
42413
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2421654
—
LA
Enumeration date
05/20/2016
Last updated
10/13/2022
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