Healthcare Provider Details

I. General information

NPI: 1831007376
Provider Name (Legal Business Name): TIERRA ASHCROFT TIERRA ASHCROFT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20302 190TH AVE E
ORTING WA
98360-9352
US

IV. Provider business mailing address

20302 190TH AVE E
ORTING WA
98360-9352
US

V. Phone/Fax

Practice location:
  • Phone: 509-761-9272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number60815243
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: