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Individual

DR. DALE BURTON MORTIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10000 NE 7TH AVE, SUITE #385, VANCOUVER, WA 98685-2955
(360) 882-9058
(360) 567-0861
Mailing address
10000 NE 7TH AVE, SUITE #385, VANCOUVER, WA 98685-2955
(360) 882-9058
(360) 567-0861

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00028371
WA

Other

Enumeration date
10/15/2008
Last updated
10/15/2008
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