Bordelon, Ashley Elizabeth

Bordelon, Ashley Elizabeth is an individual health care provider with primary practice located at 501 Main St Ste 202 , Klamath Falls OR 97601-6035. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Bordelon, Ashley Elizabeth can be contacted via phone (541) 891-7823.

Contact Information

Primary practice address
501 Main St Ste 202 Klamath Falls OR 97601-6035
Phone: (541) 891-7823
Fax: (844) 955-2526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3201 Oregon

Profile Details

NPI number 1720138019
LBN Legal business name Bordelon, Ashley Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jun 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720138019 NPPES
Mississippi MEDICAID 00018213

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