Provider Demographics
NPI:1467683912
Name:MCMICKEN, ASHLEE ELIZABETH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ASHLEE
Middle Name:ELIZABETH
Last Name:MCMICKEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19721 S HIGHWAY 213
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-4190
Mailing Address - Country:US
Mailing Address - Phone:503-305-8455
Mailing Address - Fax:
Practice Address - Street 1:19721 S HIGHWAY 213
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-4190
Practice Address - Country:US
Practice Address - Phone:503-305-8455
Practice Address - Fax:503-342-6519
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35822225100000X
OR64014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist