Individual
ASHLEY KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BEAVERCREEK RD, OREGON CITY, OR 97045-4307
(503) 655-8470
Mailing address
110 BEAVERCREEK RD, OREGON CITY, OR 97045-4307
(503) 655-8470
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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