EDUCATIONAL SERVICE DISTRICT 112 – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1790008928

EDUCATIONAL SERVICE DISTRICT 112 is a healthcare provider. based in Vancouver, Washington. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for EDUCATIONAL SERVICE DISTRICT 112 is 1790008928

Main info

Organization
Name
EDUCATIONAL SERVICE DISTRICT 112
NPI
1790008928
Phone
(360) 750-7500
Address
2500 NE 65 AVENUE
Authorized Official
MR. GAVIN HOTTMAN BUDGET ANALYST
Enumeration Date
2 March 2010
Last Update Date
24 November 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:16State licenses:0Digital endpointsOther names

Provider Addresses for EDUCATIONAL SERVICE DISTRICT 112

  • 2500 NE 65 AVENUE

    VANCOUVER, WA 986616812

    Phone: (360) 750-7500

    Fax: (360) 906-1010

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98661)

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Reviews

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Frequently asked questions

What is EDUCATIONAL SERVICE DISTRICT 112's NPI number?
EDUCATIONAL SERVICE DISTRICT 112's NPI is 1790008928 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to EDUCATIONAL SERVICE DISTRICT 112?
You should see EDUCATIONAL SERVICE DISTRICT 112 as active in CMS-hosted NPPES data.
What clinical focus is listed for EDUCATIONAL SERVICE DISTRICT 112?
At a glance, EDUCATIONAL SERVICE DISTRICT 112 is tied to Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
What locale is associated with EDUCATIONAL SERVICE DISTRICT 112?
Directory geography for EDUCATIONAL SERVICE DISTRICT 112 centers on Vancouver, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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