Individual
KRISTEN A ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # BTE119, PORTLAND, OR 97239-3098
(503) 494-6101
(503) 494-1159
Mailing address
3181 SW SAM JACKSON PARK RD # BTE119, PORTLAND, OR 97239-3098
(503) 494-6101
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201042402RN
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
201394459NP-PP
OR
Other
Enumeration date
07/25/2012
Last updated
03/01/2022
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