Organization
DALE B MORTIMER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE BURTON MORTIMER MD (CHAIRMAN AND PRESIDENT)
(360) 882-9058
Entity
Organization
Contact information
Practice address
10000 NE 7TH AVE, SUITE 385, VANCOUVER, WA 98685-2955
(360) 882-9058
(360) 567-0861
Mailing address
800 NE TENNEY ROAD, PMB 110 232, VANCOUVER, WA 98685-2831
(360) 882-9058
(360) 567-0861
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00028371
WA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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