Individual
DR. ASHLEY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 748-3869
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
60971780
WA
152W00000X
Optometrist
OD60971780
OR
152W00000X
Optometrist
Primary
OD60971780
WA
152W00000X
Optometrist
ODP-100502
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160581
—
WA
01
—
G9012133
MEDICARE WA
WA
Enumeration date
07/09/2019
Last updated
11/13/2020
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