| Doctor Name: | KATHARINE ANNE WILLIS |
| NPI Number: | 1689833816 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS SLP |
| License Number: | 12995 |
| Business Practice Address: | 2500 Ne 65th Ave Vancouver, WA - 986616812 |
| Business Phone Number: | 5032286479 |
| Business Fax Number: | |
| Mailing Address: | 14917 Ne 24th St, VANCOUVER |
| State: | WA |
| Postal Code: | 986847827 |
| Phone Number: | 3602711304 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2008 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12995 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |