NPI 1023200813

Dale B Mortimer MD PC

Organisation Child & Adolescent Psychiatry Physician Vancouver, WA

Practice location

Address: 10000 NE 7th Ave Suite 385, Vancouver, WA 98685-2955
Phone: (360) 882-9058
Fax: (360) 567-0861
Mailing address: 800 NE Tenney Road Pmb 110 232, Vancouver, WA 98685-2831

Authorised official

Name: Dale Burton Mortimer
Title: Chairman and President
Phone: (360) 882-9058

Registered specialties

Child & Adolescent Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence MD00028371 (WA)

Other Psychiatry & Neurology providers in Washington →

Registry record

NPI: 1023200813
Entity type: Organization
NPI issued: 15 Aug 2007
Record last updated: 15 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.