Provider Demographics
NPI:1386860435
Name:ASTON, VALERIE (LAC)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:ASTON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:ASTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSOM
Mailing Address - Street 1:711 SE 42ND AVE
Mailing Address - Street 2:APT. 4
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-1670
Mailing Address - Country:US
Mailing Address - Phone:503-432-3863
Mailing Address - Fax:503-460-6619
Practice Address - Street 1:2705 NE WEIDLER ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1746
Practice Address - Country:US
Practice Address - Phone:503-460-6619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC0027171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist