Healthcare Provider Details

I. General information

NPI: 1346100781
Provider Name (Legal Business Name): JULIET VAUGHAN STANWOOD AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19319 7TH AVE NE STE 102
POULSBO WA
98370-7442
US

IV. Provider business mailing address

19319 7TH AVE NE STE 102
POULSBO WA
98370-7442
US

V. Phone/Fax

Practice location:
  • Phone: 360-697-2116
  • Fax:
Mailing address:
  • Phone: 360-697-2116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD70024193
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: