Provider Demographics
NPI:1538356472
Name:LANGAN, ASHLEY MAY (MSW)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MAY
Last Name:LANGAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:MAY
Other - Last Name:BATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1132 SW 13TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-1703
Mailing Address - Country:US
Mailing Address - Phone:503-535-3807
Mailing Address - Fax:503-223-6837
Practice Address - Street 1:1132 SW 13TH AVENUE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-1703
Practice Address - Country:US
Practice Address - Phone:503-535-3807
Practice Address - Fax:503-223-6837
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health