Provider Demographics
NPI:1174145692
Name:ASH, LAUREL TAYLOR (ND, MS)
Entity type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:TAYLOR
Last Name:ASH
Suffix:
Gender:F
Credentials:ND, MS
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:ASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:819 SE MORRISON ST STE 115
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-6308
Mailing Address - Country:US
Mailing Address - Phone:503-956-9396
Mailing Address - Fax:503-206-4791
Practice Address - Street 1:819 SE MORRISON ST STE 115
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-6308
Practice Address - Country:US
Practice Address - Phone:503-956-9396
Practice Address - Fax:503-206-4791
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4315175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath