Basic Information
| Provider Information | |||||||||
| NPI: | 1215358585 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LITTLE | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | V. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5580 NORDIC PL | ||||||||
| Address2: | |||||||||
| City: | FERNDALE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982489138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603841511 | ||||||||
| FaxNumber: | 3603845758 | ||||||||
| Practice Location | |||||||||
| Address1: | 521 MARTIN LUTHER KING JR WAY | ||||||||
| Address2: | TACOMA FAMILY MEDICINE | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984054238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2537926680 | ||||||||
| FaxNumber: | 2534032915 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2014 | ||||||||
| LastUpdateDate: | 11/08/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OP60764101 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.