LANCE VICTOR GAYTON
NPI 1700471547
Clinic/Center - Mental Health (Including Community Mental Health Center) in Vancouver, WA
Active since March 03, 2021
6221 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661(206) 472-8172(360) 952-8641 Get Directions Write a Review
About Lance Victor Gayton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LANCE VICTOR GAYTON (NPI 1700471547) is an individual mental health (including community mental health center) provider in Vancouver, Washington and active in the NPI registry since March 2021.
NPPES Registry Identity
NPI1700471547
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameLANCE VICTOR GAYTON
Location Address6221 NE FOURTH PLAIN BLVDVancouver, WA 98661-7206
Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-0502 · Fax (206) 764-0516
Phone(206) 472-8172
Fax(360) 952-8641
Sole ProprietorYes
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1700471547 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
6221 NE FOURTH PLAIN BLVD, Vancouver, WA 98661
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700471547, enumerated as an "individual" on March 03, 2021.
The provider is located at 6221 NE FOURTH PLAIN BLVD VANCOUVER, WA 98661 and the phone number is (206) 472-8172.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).