Individual
ASHLEY MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
11579908-1205
UT
207R00000X
Internal Medicine Physician
BP10056245
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD206261
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500797741
—
OR
Enumeration date
04/08/2016
Last updated
12/10/2021
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