Johnson, Ashley Madeline

Johnson, Ashley Madeline is an sole proprietor health care provider with primary practice located at 2368 Crater Lake Ave , Medford OR 97504-5003. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Johnson, Ashley Madeline can be contacted via phone (541) 727-1592.

Contact Information

Primary practice address
2368 Crater Lake Ave Medford OR 97504-5003
Phone: (541) 727-1592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1902498074
LBN Legal business name Johnson, Ashley Madeline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2021
Last updated Feb 9th, 2021 - about 4 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.

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