Provider Demographics
NPI:1306581590
Name:ANSPACH, NATASHA
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:ANSPACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 E QUAIL DR
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-4103
Mailing Address - Country:US
Mailing Address - Phone:503-860-6666
Mailing Address - Fax:
Practice Address - Street 1:909 E QUAIL DR
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-4103
Practice Address - Country:US
Practice Address - Phone:303-860-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health