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Individual

ASHLEY ROBIN WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 NW 23RD AVE, PORTLAND, OR 97210-2906
(503) 413-7074
Mailing address
9201 W THOMAS RD, PHOENIX, AZ 85037-3332

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A22639
CA
208M00000X
Hospitalist Physician
Primary
011096
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2021
Last updated
10/14/2024
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