Provider Demographics
NPI:1952881898
Name:ASTORGA, ASHLEY LAVONNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LAVONNE
Last Name:ASTORGA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ARTESIA AVE
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-1674
Mailing Address - Country:US
Mailing Address - Phone:509-200-8812
Mailing Address - Fax:
Practice Address - Street 1:2500 WESTGATE
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-9606
Practice Address - Country:US
Practice Address - Phone:541-275-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201806835NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily