Ashford, Marlon
Ashford, Marlon is an individual health care provider with primary practice located at 1427 Se 182Nd Ave , Portland OR 97233-5008. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Ashford, Marlon can be contacted via phone (503) 761-6006.Contact Information
Primary practice address
1427 Se 182Nd Ave
Portland OR 97233-5008
Phone: (503) 761-6006
Fax: (503) 761-1434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 22-CRM-868 | Oregon |
Profile Details
| NPI number | 1073237509 |
|---|---|
| LBN Legal business name | Ashford, Marlon |
| Credentials | CRM/PSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2022 |
| Last updated | Dec 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073237509 | NPPES |
| Oregon | MEDICAID | 22-CRM-868 |
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