Provider Demographics
NPI:1891936613
Name:ASHARD, SHAHNA LYNN (BA)
Entity Type:Individual
Prefix:MISS
First Name:SHAHNA
Middle Name:LYNN
Last Name:ASHARD
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 SE RESERVOIR LANE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OR
Mailing Address - Zip Code:97391
Mailing Address - Country:US
Mailing Address - Phone:541-336-2254
Mailing Address - Fax:541-336-1803
Practice Address - Street 1:980 SE RESERVOIR LANE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OR
Practice Address - Zip Code:97391
Practice Address - Country:US
Practice Address - Phone:541-336-2254
Practice Address - Fax:541-336-1803
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR93-0698327OtherPRIVATE NON-PROFIT