Ashley Anjelica Neuhold, ATC
Individual provider Active NPI Athletic Trainer · Oak Grove, OR
NPI 1265909352 · NPPES record last updated Oct 27, 2018
Key facts
- NPI
- 1265909352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT-AT-10183364 (OR)
- Practice address
- 15796 SE McLoughlin Blvd
Oak Grove, OR 97267-3854 - Phone
- (503) 653-5763
- NPI assigned
- Oct 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-AT-10183364 | OR | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-AT-10183364 | OR | Yes |
Addresses
Primary practice location
15796 SE McLoughlin Blvd
Oak Grove, OR 97267-3854
Mailing address
361 NE 4TH Ave
Canby, OR 97013-3111
Phone (503) 260-6299
Other practice location 1
29605 SW Kinsman Rd
Wilsonville, OR 97070-6751
Phone (503) 682-8869
Other practice location 2
361 NE 4th Ave
Canby, OR 97013-3111
Phone (503) 260-6299
Other names
- Ashley Seaton
Other providers in Oak Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.