Educational Service District 112
NPI 1790008928 · Mental Health Clinic/Center (Including Community Mental Health Center) · Vancouver, WA
Educational Service District 112 is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Vancouver, WA (NPI 1790008928).
Provider details
- NPI number
- 1790008928
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gavin Hottman, Budget Analyst(360) 750-7500
Specialties & taxonomies
Ambulatory Health Care Facilities
- Local Education Agency (LEA)251300000X
Agencies
- Case Management Agency251B00000X
Agencies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2020-11-24
- Certified
- 2020-11-24
Frequently asked questions
- What is Educational Service District 112's NPI number?
- Educational Service District 112's National Provider Identifier (NPI) is 1790008928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Educational Service District 112?
- Educational Service District 112 is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Educational Service District 112 located?
- Educational Service District 112's practice location on file with NPPES is 2500 Ne 65 Avenue, Vancouver, WA 98661-6812.
- What is Educational Service District 112's phone number?
- The practice phone number listed in the NPPES registry for Educational Service District 112 is (360) 750-7500.
- Who is the authorized official for Educational Service District 112?
- The authorized official listed on Educational Service District 112's NPPES record is Gavin Hottman, Budget Analyst. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Educational Service District 112's NPI active?
- Yes — Educational Service District 112's NPI (1790008928) is active in the NPPES registry as of the last update on 2020-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.