Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | DP00309 | OR |
NPI | 1346347432 |
---|---|
Provider Name | Dr. Brian D Ashdown |
First Address | Albany, OR 97321-3451 |
Second Address | Albany, OR 97321-3451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 01/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
226317 | (05) | OR |
U74168 | (02) |