Individual
ASHLEY PROTHERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, QMHP
Contact information
Practice address
340 NW 5TH ST, BOX 1710, REDMOND, OR 97756-1869
(541) 516-4087
(541) 504-1195
Mailing address
340 NW 5TH ST, PO BOX 1710, REDMOND, OR 97756-1869
(541) 516-4087
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201504265RN
OR
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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