DR. DALE BURTON MORTIMER M.D. NPI 1467604025

NPI Information

DR. Dale Burton Mortimer, M.D. 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. DR. Dale Burton Mortimer, M.D. NPI is 1467604025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

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 NPI 1467604025 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/15/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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