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Individual

ASHLEY HELENE DOUGLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(360) 428-6141
Mailing address
PO BOX 152, BOW, WA 98232-0152
(719) 287-5589

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
12/11/2015
Last updated
09/02/2020
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