Provider Demographics
NPI:1558598250
Name:WEIMAR, ASHLEE JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEE
Middle Name:JEAN
Last Name:WEIMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64486 CLEM RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:OR
Mailing Address - Zip Code:97812-6517
Mailing Address - Country:US
Mailing Address - Phone:541-980-7963
Mailing Address - Fax:
Practice Address - Street 1:982 E COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-3316
Practice Address - Country:US
Practice Address - Phone:509-685-5120
Practice Address - Fax:509-685-2084
Is Sole Proprietor?:No
Enumeration Date:2009-06-19
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60242653207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA00OtherRESIDENT