DR. DALE BURTON MORTIMER (NPI# 1467604025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467604025 |
Entity Type | Individual |
Full Name | DR. DALE BURTON MORTIMER |
Credential | M.D. |
Practice Address |
10000 Ne 7th Ave Suite #385 Vancouver WA 98685-2955 |
Practice Telephone | 3608829058 |
Practice Fax Number | 3605670861 |
Mailing Telephone | 3608829058 |
Mailing Fax Number | 3605670861 |
Enumeration Date | 2008-10-15 |
Last Update Date | 2008-10-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD00028371 | WA | Allopathic & Osteopathic Physicians |
Street Address |
10000 NE 7TH AVE SUITE #385 |
City | VANCOUVER |
State | WA |
Zip Code | 98685-2955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184771941 | Family Care Services, Inc | Home Health | 10000 Ne 7th Ave, Suite 210, Vancouver, WA 98685-4599 | 2007-01-04 |
1487286639 | Insight Counseling Vancouver Pllc | Community/Behavioral Health | 10000 Ne 7th Ave, Vancouver, WA 98685-4599 | 2020-02-05 |
1508496324 | Pathways Counseling and Wellness Pllc | Clinic/Center | 10000 Ne 7th Ave, Vancouver, WA 98685-4599 | 2020-01-21 |
1780061937 | Star Meadow Counseling, Pllc | Counselor | 10000 Ne 7th Ave, Suite 330-f, Vancouver, WA 98685 | 2015-04-27 |
1659782316 | Matthew Joseph Martin | Counselor | 10000 Ne 7th Ave, Suite 330f, Vancouver, WA 98685-4599 | 2014-05-15 |
1689001661 | Ericka Martin | Counselor | 10000 Ne 7th Ave, Suite 330f, Vancouver, WA 98685-4599 | 2013-10-04 |
1154611143 | Autism Behavioral Consulting | Community/Behavioral Health | 10000 Ne 7th Ave, Suite 110, Vancouver, WA 98685-4599 | 2011-04-12 |
1891096384 | Patricia Jo Chance | Counselor | 10000 Ne 7th Ave, Suite 325, Vancouver, WA 98685-4599 | 2010-11-15 |
1497929152 | Vancouver Medical Weight Loss Clinic | Clinic/Center | 10000 Ne 7th Ave, Suite 110, Vancouver, WA 98685-4599 | 2008-04-14 |
1154502391 | Jolene Marie Feeney | Counselor | 10000 Ne 7th Ave, Suite 215, Vancouver, WA 98685-4599 | 2007-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225650112 | Zachary Dodds | Massage Therapist | 12314 Nw 42nd Ct, Vancouver, WA 98685 | 2020-05-13 |
1760996425 | Eric Moore | Physical Therapy Assistant | 1308 Ne 134th Street, Suite 110, Vancouver, WA 98685 | 2017-11-16 |
1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
1538688668 | Carrie Roxann Wolfe | Counselor | 1313 Ne 134th St Ste 220a, Vancouver, WA 98685 | 2017-09-09 |
1548719461 | Mirror Pond Dental, LLC | Dentist | 1412 Ne 134th St. Suite 120, Vancouver, WA 98685 | 2016-10-04 |
1629522958 | Deanna Carter | Massage Therapist | 1319 Ne 134th Street, Vancouver, WA 98685 | 2016-08-03 |
1417329020 | Kaleen Hoyt | Massage Therapist | 1319 Nw 134th St Suit 103, Vancuver, WA 98685 | 2015-10-22 |
1497173066 | Kelley Heffelfinger | Behavioral Analyst | 9901 Ne 7th Ave., Suite C-116, Vancouver, WA 98685 | 2014-04-01 |
1548512791 | Elana S Kier | Social Worker | 10000 Ne 7th Ave Ste 100b, Vancouver, WA 98685 | 2012-10-12 |
1922370469 | Brian R Timms | Chiropractor | 1412 Ne 134th St Ste 100, Vancouver, WA 98685 | 2012-01-30 |
Find all providers in zip 98685 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
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. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063999639 | Matthew S Davis Md Pllc | Psychiatry & Neurology | 2501 Ne 134th St Ste 203, Vancouver, WA 98686-3028 | 2018-07-25 |
1881857977 | Emily Anne Sadik | Psychiatry & Neurology | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7369 | 2008-07-08 |
1023200813 | Dale B Mortimer Md PC | Psychiatry & Neurology | 10000 Ne 7th Ave, Suite 385, Vancouver, WA 98685-2955 | 2007-08-15 |
1609986090 | Margaret Michi Lin | Psychiatry & Neurology | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2006-08-30 |
1922081066 | Alpha Psychiatric Services, Inc | Psychiatry & Neurology | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6728 | 2005-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225674963 | Multicare Health System | Psychiatry & Neurology | 4700 Point Fosdick Dr Ste 319, Gig Harbor, WA 98335-1731 | 2019-11-18 |
1235792326 | Wellpsyche Seattle PC | Psychiatry & Neurology | 801 2nd Ave Ste 800, Seattle, WA 98104-1573 | 2019-04-15 |
1043624240 | Lucas Mcintyre | Psychiatry & Neurology | 316 S I St Fl 1, Tacoma, WA 98405-4212 | 2014-06-16 |
1184043010 | Shad Syed Ali | Psychiatry & Neurology | 2511 M Ave Ste G, Anacortes, WA 98221-3897 | 2014-04-08 |
1710223896 | Jack Raskin | Psychiatry & Neurology | 2624 161st Ave Se, Bellevue, WA 98008-5424 | 2012-12-18 |
1801140876 | Deborah L. Hickey, D.o.ps | Psychiatry & Neurology | 6512-20th St Ct W #c, Firerest, WA 98466-6212 | 2012-10-30 |
1073884102 | Larry W. Einspahr, M.d., P.s. | Psychiatry & Neurology | 5400 Carillon Pt Bldg 5000, 4th Floor, Kirkland, WA 98033-7357 | 2012-01-20 |
1982922233 | Brian N Gipstein | Psychiatry & Neurology | 4407 S Madelia St, Spokane, WA 99223-6429 | 2010-05-12 |
1063667087 | Robert S Fleming II | Psychiatry & Neurology | 16921 14th Ave Nw, Shoreline, WA 98177-3840 | 2008-11-18 |
1306000898 | Amy Lazar | Psychiatry & Neurology | 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 | 2008-07-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.