Provider Demographics
NPI:1801691928
Name:ASBURY, GREG ALAN (PHD DNM)
Entity type:Individual
Prefix:DR
First Name:GREG
Middle Name:ALAN
Last Name:ASBURY
Suffix:
Gender:M
Credentials:PHD DNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5605 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-2833
Mailing Address - Country:US
Mailing Address - Phone:626-716-2913
Mailing Address - Fax:626-716-2913
Practice Address - Street 1:5605 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-2833
Practice Address - Country:US
Practice Address - Phone:626-716-2913
Practice Address - Fax:626-716-2913
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach