Lance Victor Gayton

NPI #1700471547 in Vancouver, Washington

Provider Information

NPI Number
1700471547
Entity Type
Individual
Name
Lance Victor Gayton
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Mar 3, 2021
Last Updated
Mar 3, 2021

Practice Location

Address
6221 NE FOURTH PLAIN BLVD
ZIP Code
98661-7206
Phone
(206) 472-8172

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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