Healthcare Provider Details

I. General information

NPI: 1295699130
Provider Name (Legal Business Name): CATHY SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5197 NW LOWER RIVER RD BLDG 1
VANCOUVER WA
98660-1013
US

IV. Provider business mailing address

717 NE 82ND AVE APT 223
VANCOUVER WA
98664-2050
US

V. Phone/Fax

Practice location:
  • Phone: 360-205-1222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCAAR.CG.70042849
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: