Provider Demographics
NPI:1154859064
Name:ZIEGLER, JOSHUA (MA)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 SW HAMPTON ST STE 125
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8317
Mailing Address - Country:US
Mailing Address - Phone:503-545-8452
Mailing Address - Fax:
Practice Address - Street 1:7000 SW HAMPTON ST STE 125
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8317
Practice Address - Country:US
Practice Address - Phone:503-545-8452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR4759101YP2500X
ORT1681106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional