IndividualActive
Ashley Tiegen-Tracy
NPI 1285088443 · Early Intervention Provider Agency · Sherwood, OR
Provider details
- NPI number
- 1285088443
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- ABA-IN-10175214 (OR)
Specialties & taxonomies
Agencies
Practice location
12155 Sw Tooze Rd
Sherwood, OR 97140-8441
Phone: (503) 570-0147
Approximate (ZIP-level) locationGet directions
Mailing address
7714 Sw 45th Ave #66
Portland, OR 97219
Registry dates
- Enumerated
- 2016-04-14
- Last updated
- 2016-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.