| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ASHLEY MARION DUDLEY | 1972196657 | 2021-02-13 |
Ashley Marion Dudley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972196657. Registration indicates Ashley Marion Dudley is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Ashley Marion Dudley LMT |
| Practice Office Address | 4927 NE 30TH AVE PORTLAND, OR US |
| Practice Office Telephone | 5032810681 |
| Mailing Address | 5262 NE 29TH AVE PORTLAND, OR 972116240 US |
| Business Telephone | 2162728757 |
| Code | Practice | License No State |
|---|---|---|
| 225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 25726
OR |