ASHLEY TIEGEN-TRACY

SHERWOOD, OR
NPI1285088443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: OR  ABA-IN-10175214)
Enumeration Date2016-04-14
Last Update Date2016-04-14
Business Address
-- ASHLEY TIEGEN-TRACY
12155 SW TOOZE RD
SHERWOOD, OR 97140-8441
Phone number: 503-570-0147
Mailing Address
-- ASHLEY TIEGEN-TRACY
7714 SW 45TH AVE #66
PORTLAND, OR 97219
Phone number:
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