Individual
KERRY JONES ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3838 PACIFIC AVE, FOREST GROVE, OR 97116-2224
(503) 992-0288
Mailing address
9485 SW WASHINGTON ST, PORTLAND, OR 97225-6842
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01454
OR
Other
Enumeration date
04/13/2009
Last updated
02/04/2010
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