Individual
MARLON ASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM/PSS
Contact information
Practice address
1427 SE 182ND AVE, PORTLAND, OR 97233-5008
(503) 761-6006
(503) 761-1434
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-868
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22-CRM-868
—
OR
Enumeration date
09/28/2022
Last updated
12/28/2022
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