Provider Demographics
NPI:1346347432
Name:ASHDOWN, BRIAN D (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:D
Last Name:ASHDOWN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 WILLETTA ST SW STE D2
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-3451
Mailing Address - Country:US
Mailing Address - Phone:541-928-3413
Mailing Address - Fax:877-437-6974
Practice Address - Street 1:2605 WILLETTA ST SW STE D2
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-3451
Practice Address - Country:US
Practice Address - Phone:541-928-3413
Practice Address - Fax:877-437-6974
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDP00309213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR226317Medicaid
OR103420Medicare PIN
U74168Medicare UPIN