Individual
ASHLEY ANN CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
2659 SW 4TH ST STE 102, REDMOND, OR 97756
(541) 516-6334
Mailing address
2659 SW 4TH ST STE 102, REDMOND, OR 97756-6406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283234
—
OR
Enumeration date
10/05/2016
Last updated
06/26/2019
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