Provider Demographics
NPI:1124374574
Name:REMIRO, ASHLEY D (LMFT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:D
Last Name:REMIRO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:D
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:895 COUNTRY CLUB RD STE A140
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6028
Mailing Address - Country:US
Mailing Address - Phone:541-844-4182
Mailing Address - Fax:
Practice Address - Street 1:895 COUNTRY CLUB RD STE A140
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6028
Practice Address - Country:US
Practice Address - Phone:541-844-4182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT1581106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist