Provider Demographics
NPI:1316216369
Name:HAMSTRA, ASHLEY ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ANNE
Last Name:HAMSTRA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 N MOLTER RD STE 112
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-9811
Mailing Address - Country:US
Mailing Address - Phone:208-277-9704
Mailing Address - Fax:208-277-9704
Practice Address - Street 1:2110 N MOLTER RD STE 112
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-9811
Practice Address - Country:US
Practice Address - Phone:208-277-9704
Practice Address - Fax:208-277-9704
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60630664207N00000X, 207ND0900X
IDM13198207N00000X, 207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology