Organization
THE STUDIO LA PINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ASH LMT (OWNER)
(541) 876-2100
Entity
Organization
Contact information
Practice address
51470 HIGHWAY 97 STE 5A, LA PINE, OR 97739-9868
(541) 876-2100
Mailing address
52765 HOWARD LN, LA PINE, OR 97739-9417
(808) 280-2087
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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