Individual
ANNE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 PACIFIC AVE FL 1, EVERETT, WA 98201-4168
(425) 258-7311
(425) 258-7618
Mailing address
PO BOX 3369, PORTLAND, OR 97208-3369
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60552437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL60552437
STATE LICENSE
WA
Enumeration date
04/28/2014
Last updated
03/17/2018
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