Provider Demographics
NPI:1104366442
Name:TERLESKI, ASHLEY (MSW, QMHP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:TERLESKI
Suffix:
Gender:F
Credentials:MSW, QMHP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:JOHNSON-TERLESKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, QMHP
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:MARYLHURST
Mailing Address - State:OR
Mailing Address - Zip Code:97036-0368
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15544 CLACKAMAS RIVER DR
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-9490
Practice Address - Country:US
Practice Address - Phone:503-635-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker