Individual
ASHLEY WIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PRAXIS HEALTH PC DBA HIGH LAKES HEALTH CARE, 2175 NW SHEVLIN PARK ROAD, BEND, OR 97703
(541) 389-7741
(541) 278-8375
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(541) 278-4332
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW.09924973
CO
1041C0700X
Clinical Social Worker
Primary
L12736
OR
1041C0700X
Clinical Social Worker
LW61235149
WA
Other
Enumeration date
12/29/2017
Last updated
12/18/2023
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