Individual
KATHARINE ANNE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(503) 228-6479
Mailing address
14917 NE 24TH ST, VANCOUVER, WA 98684-7827
(360) 271-1304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12995
OR
Other
Enumeration date
06/03/2008
Last updated
01/24/2013
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