Individual
ANDREW D ASHBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3915 TALBOT RD S STE 200, RENTON, WA 98055-5738
(425) 690-3400
(425) 690-0600
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OP60649784
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OP60649784
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020746
—
WA
01
—
G8955898
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
07/03/2012
Last updated
05/05/2021
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