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Individual

ASHLYN J CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
DEPARTMENT OF DERMATOLOGY 3303 BOND AVE., PORTLAND, OR 97239-4501
(503) 418-3376
Mailing address
DEPARTMENT OF DERMATOLOGY 3303 BOND AVE., PORTLAND, OR 97239-4501
(503) 418-3376

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024167017
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
201604529NP-PP
OR

Other

Enumeration date
07/17/2007
Last updated
12/26/2018
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