Healthcare Provider Details

I. General information

NPI: 1699572081
Provider Name (Legal Business Name): MS. HEATHER SCOTT SAUNDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. HEATHER LYNN SCOTT

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13413 NE LEROY HAGEN MEMORIAL DR
VANCOUVER WA
98684-5967
US

IV. Provider business mailing address

13413 NE LEROY HAGEN MEMORIAL DR
VANCOUVER WA
98684-5967
US

V. Phone/Fax

Practice location:
  • Phone: 360-604-6825
  • Fax:
Mailing address:
  • Phone: 360-604-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number60061883
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: