Individual
ASHLEY NICOLE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
712 JAY ST, FOSSIL, OR 97830-8371
(541) 763-2725
(541) 763-2850
Mailing address
PO BOX 264, FOSSIL, OR 97830-0264
(541) 256-6272
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
109633
OR
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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