Healthcare Provider Details

I. General information

NPI: 1942019617
Provider Name (Legal Business Name): JASMINE LILIANA SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NE 139TH ST STE 206
VANCOUVER WA
98685-2519
US

IV. Provider business mailing address

14887 NW KYLE PL
PORTLAND OR
97229-9247
US

V. Phone/Fax

Practice location:
  • Phone: 360-487-1360
  • Fax:
Mailing address:
  • Phone: 408-930-0814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number114084
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberBD61650596
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: