Individual
JENNIFER R ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5811
(541) 706-5867
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD166850
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11142083
CAQH
OR
05
—
500671826
—
OR
01
—
P01357482
RAILROAD MEDICARE
OR
Enumeration date
08/23/2006
Last updated
04/22/2020
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