Individual
LEILA MARIE ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 297-6334
(503) 297-2360
Mailing address
9155 SW BARNES RD STE 420, SUITE 420, PORTLAND, OR 97225-6631
(503) 297-6334
(503) 297-2360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250117NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500650191
—
OR
Enumeration date
09/25/2012
Last updated
11/07/2014
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