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Individual

ASHLEY ALBERTA BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-5263
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-5452
(541) 296-5263

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
25-QMHA-R-7192
OR
175T00000X
Peer Specialist
THW000105018
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500808240
OR
Enumeration date
06/30/2022
Last updated
07/24/2025
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