Provider Demographics
NPI:1447620208
Name:MARTIN, ASHLEY C (MHS)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:C
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:C
Other - Last Name:SCHLEGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHS
Mailing Address - Street 1:PO BOX 4105
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-4105
Mailing Address - Country:US
Mailing Address - Phone:866-907-1068
Mailing Address - Fax:425-917-9141
Practice Address - Street 1:3760 PIPER ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4683
Practice Address - Country:US
Practice Address - Phone:907-563-5006
Practice Address - Fax:907-563-3217
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health