Provider Demographics
NPI:1518689314
Name:MOTLEY, ASHLEY (MCOUN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MOTLEY
Suffix:
Gender:F
Credentials:MCOUN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 S 2ND ST UNIT 565
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97351-2084
Mailing Address - Country:US
Mailing Address - Phone:503-586-9989
Mailing Address - Fax:
Practice Address - Street 1:750 WHITE OAK CIR APT 147
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OR
Practice Address - Zip Code:97351-8606
Practice Address - Country:US
Practice Address - Phone:503-586-9989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health