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Ashley Atwood

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Ohsu Pa Program Gh219, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Ashley Atwood is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1023428216
Provider Type
Individual
Full Name
Atwood, Ashley
Gender
Female

Sole Proprietor
No
Enumeration Date
4/28/2014
Last Updated
12/30/2020

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Ohsu Pa Program Gh219, Portland, OR 97239-3011

(503) 494-3633

Unlisted Fax

Mailing Location

51377 SW Old Portland Rd, Scappoose, OR 97056-4023

(503) 418-4222

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA173722 Oregon

Ashley Atwood

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Lechich, Kirstie Macmillen

Skolnik, Kevin

Rozek, Jennifer Christine

Benjamin, Christopher

Barwood, Gwen Lynn

Fix, Paxton

Good, Paulina

Early, Jocelyn M

Donovan, Jeffrey

Friberg, Whitni Nicole