DALE B MORTIMER MD PC NPI 1023200813

NPI Information

NPI: 1023200813
Provider Name: DALE B MORTIMER MD PC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
10000 NE 7TH AVE
SUITE 385
VANCOUVER, WA
ZIP 98685
Phone: (360) 882-9058
Get Directions

DALE B MORTIMER MD PC is a child and adolescent psychiatry psychiatry neurology in Vancouver, WA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DALE B MORTIMER MD PC NPI is 1023200813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10000 NE 7TH AVE
SUITE 385
VANCOUVER, WA
ZIP 98685-955
Phone: (360) 882-9058
Fax: (360) 567-0861

The provider's authorized official is Dale Burton Mortimer .
The authorized official title is Chairman And President and has the following contact phone number (360) 882-9058.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 8/15/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD00028371	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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