Provider Demographics
NPI:1922415819
Name:TERRY, ASHLEY DENISE (MA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:DENISE
Last Name:TERRY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:DENISE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:237 NE 56TH AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6185
Mailing Address - Country:US
Mailing Address - Phone:360-831-7181
Mailing Address - Fax:
Practice Address - Street 1:2990 BRANDYWINE DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-8313
Practice Address - Country:US
Practice Address - Phone:719-440-0994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-13
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61365770101YM0800X
101Y00000X, 390200000X
ORC5286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program