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DR. DALE BURTON MORTIMER M.D.
NPI 1467604025
Psychiatry & Neurology - Child & Adolescent Psychiatry in Vancouver, WA

Active since October 15, 2008Opted out of Medicare · through Nov 20, 2027
10000 NE 7TH AVE, SUITE #385, VANCOUVER, WA 98685(360) 882-9058(360) 567-0861 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dale Burton Mortimer M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALE BURTON MORTIMER M.D. (NPI 1467604025) is an individual child & adolescent psychiatry provider in Vancouver, Washington, licensed in Washington (MD00028371) and active in the NPI registry since October 2008. He has opted out of Medicare through November 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467604025
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. DALE BURTON MORTIMERCredential: M.D.
Location Address10000 NE 7TH AVE, SUITE #385Vancouver, WA 98685-2955
Mailing Address10000 Ne 7th Ave, Suite #385Vancouver, WA 98685-2955 · (360) 882-9058 · Fax (360) 567-0861
Phone(360) 882-9058
Fax(360) 567-0861
Sole ProprietorYes
Enumeration DateOctober 15, 2008
✔ NPI 1467604025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in WA · MD00028371
Definition
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.
10000 NE 7TH AVE, Vancouver, WA 98685
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Other Identifiers 1

Medicare UPIND86837

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dale Burton Mortimer M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 20, 2015 through November 20, 2027.

Opt-Out Effective DateNovember 20, 2015
Opt-Out In Effect ThroughNovember 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALE B MORTIMER MD PC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
10000 NE 7TH AVE, SUITE 385
VANCOUVER, WA 98685
Clark County (360) 882-9058
MRS. JOLENE MARIE FEENEY NCC, CDP, LMHC
Counselor (Mental Health)
10000 NE 7TH AVE, SUITE 215
VANCOUVER, WA 98685
Clark County (360) 574-9565
AUTISM BEHAVIORAL CONSULTING
Behavior Analyst
10000 NE 7TH AVE, SUITE 110
VANCOUVER, WA 98685
Clark County (360) 524-3440
FAMILY CARE SERVICES, INC
Home Health
10000 NE 7TH AVE, SUITE 210
VANCOUVER, WA 98685
Clark County (360) 546-5566
INSIGHT COUNSELING VANCOUVER PLLC
Community/Behavioral Health
10000 NE 7TH AVE
VANCOUVER, WA 98685
Clark County (360) 797-5567
VANCOUVER MEDICAL WEIGHT LOSS CLINIC
Clinic/Center (Primary Care)
10000 NE 7TH AVE, SUITE 110
VANCOUVER, WA 98685
Clark County (360) 571-7177
PATHWAYS COUNSELING AND WELLNESS PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
10000 NE 7TH AVE
VANCOUVER, WA 98685
Clark County (360) 358-2922
MATTHEW JOSEPH MARTIN MA, LMHC
Counselor (Mental Health)
10000 NE 7TH AVE, SUITE 330F
VANCOUVER, WA 98685
Clark County (360) 952-3070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Mortimer's NPI number?

The NPI number for Dale Mortimer is 1467604025. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Where is Dale Mortimer located?

Dale Mortimer practices at 10000 NE 7th Ave Suite #385, Vancouver, WA 98685. The listed phone number is (360) 882-9058.

What is Dale Mortimer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Dale Mortimer enrolled in Medicare?

No. Dale Mortimer has opted out of Medicare through November 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Dale Mortimer accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Dale Mortimer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dale Mortimer was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.