Provider Demographics
NPI:1033424411
Name:SCHAAF, ASHLEY PULEO (DDS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PULEO
Last Name:SCHAAF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14795 SW MURRAY SCHOLLS DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-9713
Mailing Address - Country:US
Mailing Address - Phone:503-579-0304
Mailing Address - Fax:503-579-7866
Practice Address - Street 1:14795 SW MURRAY SCHOLLS DR
Practice Address - Street 2:SUITE 116
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-9713
Practice Address - Country:US
Practice Address - Phone:503-579-0304
Practice Address - Fax:503-579-7866
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD94681223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR931321010OtherGROUP PRACTICE