Healthcare Provider Details

I. General information

NPI: 1669356788
Provider Name (Legal Business Name): ALEXA NICOLE FELTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 FALK RD
VANCOUVER WA
98661-6392
US

IV. Provider business mailing address

1209 SE 178TH CT
VANCOUVER WA
98683-9597
US

V. Phone/Fax

Practice location:
  • Phone: 360-313-1000
  • Fax:
Mailing address:
  • Phone: 360-553-8353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: