Provider Demographics
NPI:1740260876
Name:ASHBY, WILLIAM E (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:ASHBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 N COLLEGE AVE UNIT 2A
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-1048
Mailing Address - Country:US
Mailing Address - Phone:509-529-4850
Mailing Address - Fax:509-525-5184
Practice Address - Street 1:56 N COLLEGE AVE UNIT 2A
Practice Address - Street 2:
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-1048
Practice Address - Country:US
Practice Address - Phone:509-529-4850
Practice Address - Fax:509-525-5184
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD08822207R00000X
WAMD00013587207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR004465Medicaid
WA154990OtherLABOR & INDUSTRY
WA1276401Medicaid
ORR114885Medicare PIN
WA1276401Medicaid
WA154990OtherLABOR & INDUSTRY
OR004465Medicaid