Individual
ASHLEY JORDAN PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 MADISON ST STE 106, OREGON CITY, OR 97045-2354
(503) 730-1469
Mailing address
PO BOX 3973, TUALATIN, OR 97062-3973
(503) 730-1469
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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