NPI 1285088443

Ashley Tiegen-Tracy

Practitioner Early Intervention Provider Agency Sherwood, OR

Practice location

Address: 12155 SW Tooze Rd, Sherwood, OR 97140-8441
Phone: (503) 570-0147
Mailing address: 7714 SW 45th Ave #66, Portland, OR 97219

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence ABA-IN-10175214 (OR)

Other Early Intervention Provider Agency providers in Oregon →

Registry record

NPI: 1285088443
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2016
Record last updated: 14 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.