Provider Demographics
NPI:1306143292
Name:SCOTT, ASHLEY MORGAN WOHLEBER (PSYD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MORGAN WOHLEBER
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:MORGAN
Other - Last Name:WOHLEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:388 STATE ST STE 445
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3927
Mailing Address - Country:US
Mailing Address - Phone:503-461-0759
Mailing Address - Fax:503-506-6957
Practice Address - Street 1:388 STATE ST STE 445
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3927
Practice Address - Country:US
Practice Address - Phone:503-461-0759
Practice Address - Fax:503-506-6957
Is Sole Proprietor?:No
Enumeration Date:2011-02-11
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2512103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500666679Medicaid