person
Lance Victor Gayton
Mental Health Clinic/Center (Including Community Mental Health Center) in Vancouver, Washington
NPI 1700471547

Lance Victor Gayton is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Seattle, WA and is specialized in Mental Health (Including Community Mental Health Center). Lance Victor Gayton practices in Vancouver, WA. The NPI Number for Lance Victor Gayton is 1700471547 and holds a License No. (Washington).

The current practice location address for Lance Victor Gayton is 6221 Ne Fourth Plain Blvd, Vancouver, WA and can be reached out via phone at 206-472-8172 and via fax at 360-952-8641.

Location: 6221 Ne Fourth Plain Blvd, Vancouver, WA, 98124-1703
person
Provider Profile Details
NPI Number
1700471547
Provider Name
Lance Victor Gayton
Credential
Provider Entity Type
Individual
Gender
Male
Address
6221 Ne Fourth Plain Blvd, Vancouver, WA, 98124-1703
Phone Number
206-472-8172
Fax Number
360-952-8641
Provider Enumeration Date
03/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6221 Ne Fourth Plain Blvd
City
State
Zip
98661-7206
Phone Number
206-472-8172
Fax Number
360-952-8641
person
Provider Business Mailing Address Details
Address
6221 Ne Fourth Plain Blvd
City
State
Zip
98661-7206
Phone Number
206-472-8172
Fax Number
360-952-8641
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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