Healthcare Provider Details

I. General information

NPI: 1013792910
Provider Name (Legal Business Name): TORI MARIE NORMAN WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 NE 139TH ST
VANCOUVER WA
98686-2719
US

IV. Provider business mailing address

3716 NE 131ST ST
VANCOUVER WA
98686-4904
US

V. Phone/Fax

Practice location:
  • Phone: 360-882-2778
  • Fax:
Mailing address:
  • Phone: 361-850-3711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP61487745
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number61098133
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: