OrganizationActive
Dale B Mortimer MD PC
NPI 1023200813 · Child & Adolescent Psychiatry Physician · Vancouver, WA
Provider details
- NPI number
- 1023200813
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dale Mortimer, Chairman and President(360) 882-9058
- License
- MD00028371 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10000 Ne 7th Ave
Suite 385
Vancouver, WA 98685-2955
Phone: (360) 882-9058
Fax: (360) 567-0861
Street-level locationGet directions
Mailing address
800 Ne Tenney Road
Vancouver, WA 98685-2831
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2007-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.