Individual
MISS ASHLEY VANDERDASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
(541) 573-8378
Mailing address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
(541) 573-8378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201150183NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150183NP
OR
Other
Enumeration date
02/03/2012
Last updated
01/23/2023
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