Healthcare Provider Details

I. General information

NPI: 1063983435
Provider Name (Legal Business Name): NATALIE J THOMAS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2018
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17005 NE 81ST ST
VANCOUVER WA
98682-3894
US

IV. Provider business mailing address

17005 NE 81ST ST
VANCOUVER WA
98682-3894
US

V. Phone/Fax

Practice location:
  • Phone: 503-475-6948
  • Fax:
Mailing address:
  • Phone: 503-475-6948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC10440
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC61593997
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC10440
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: