Individual
MRS. ASHLEY J MASOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 408-1502
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201041347RN
OR
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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