Individual
ASHTON TART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
202 NW 13TH AVE, PORTLAND, OR 97209-2953
(503) 684-8252
Mailing address
19075 NW TANASBOURNE DR STE 200, HILLSBORO, OR 97124-5866
(503) 684-8252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201405902RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201407674NP-PP
OR
Other
Enumeration date
02/14/2015
Last updated
02/14/2015
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