Provider Demographics
NPI:1861727554
Name:ASHFORD, RANDY RICHARD (MS)
Entity type:Individual
Prefix:MR
First Name:RANDY
Middle Name:RICHARD
Last Name:ASHFORD
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48112
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99228-1112
Mailing Address - Country:US
Mailing Address - Phone:509-270-4173
Mailing Address - Fax:
Practice Address - Street 1:1521 E ILLINOIS AVE STE 201
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-5147
Practice Address - Country:US
Practice Address - Phone:509-270-4173
Practice Address - Fax:509-270-4173
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health