Provider Demographics
NPI:1982276549
Name:FERRIS, ANNE SOPHIA
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:SOPHIA
Last Name:FERRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12014 SE MILL PLAIN BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-4044
Mailing Address - Country:US
Mailing Address - Phone:971-249-3791
Mailing Address - Fax:805-823-4462
Practice Address - Street 1:12014 SE MILL PLAIN BLVD STE 120
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-4044
Practice Address - Country:US
Practice Address - Phone:208-270-5814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2025-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician