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OZARK GORE
NPI 1750916086
Psychologist - Addiction (Substance Use Disorder) in Lacey, WA

Active since March 06, 2020
4804 LACEY BLVD SE STE A, LACEY, WA 98503(360) 799-5782 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ozark Gore NPPES

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

OZARK GORE (NPI 1750916086) is an individual addiction (substance use disorder) provider in Lacey, Washington and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1750916086
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameOZARK GORE
Location Address4804 LACEY BLVD SE STE ALacey, WA 98503-5733
Mailing Address6703 Oakbrook Ct SeOlympia, WA 98513-5672 · (808) 214-4948
Phone(360) 799-5782
Sole ProprietorYes
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1750916086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
4804 LACEY BLVD SE STE A, Lacey, WA 98503
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Other Providers at the Same Location NPPES 4

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

MEGAN E PLASCENCIA MA
Counselor (Mental Health)
4804 LACEY BLVD SE STE A
LACEY, WA 98503
Thurston County (360) 799-5782
MS. MONICA PERSSON
Counselor (Mental Health)
4804 LACEY BLVD SE STE A
LACEY, WA 98503
Thurston County (360) 799-5782
MICHELLE VENIDA
Counselor
4804 LACEY BLVD SE STE A
LACEY, WA 98503
Thurston County (360) 280-5452
MR. JEREMY CRAIG BOLDEN MSW
Social Worker (Clinical)
4804 LACEY BLVD SE STE A
LACEY, WA 98503
Thurston County (360) 799-5782

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 Ozark Gore's NPI number?

The NPI number for Ozark Gore is 1750916086. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Ozark Gore located?

Ozark Gore practices at 4804 Lacey Blvd SE Ste A, Lacey, WA 98503. The listed phone number is (360) 799-5782.

What is Ozark Gore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Ozark Gore was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.