CHRISTOPHER TODD LAKE (NPI# 1114246535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114246535 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER TODD LAKE |
| Credential | MPH,CDP |
| Practice Address |
7700 Ne 26th Ave Vancouver WA 98665-0672 |
| Mailing Address |
Po Box 2429 Longview WA 98632-8486 |
| Practice Telephone | 3603978228 |
| Practice Fax Number | 3603978259 |
| Mailing Telephone | 3603978228 |
| Mailing Fax Number | 3603978259 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2017-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP00004949 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6926 Ne Fourth Plain Blvd, Vancouver, WA 986617369 | 3609933000 | 3609933047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538579255 | Christopher Nigel Lake | Specialist | 9310 Queens Blvd Apt 4e, Rego Park, NY 11374-1103 | 2014-05-02 |
| 1104203496 | Christopher P Lake | Family Medicine | 8200 Meadowbridge Rd Ste 200, Mechanicsville, VA 23116 | 2015-05-06 |
| 1619979564 | Christopher Lake | Family Medicine | 133 Pleasant St, Berlin, NH 03570-2006 | 2005-08-11 |
| Street Address |
7700 NE 26TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98665-0672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164649679 | Cowlitz Indian Tribe | Clinic/Center | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2007-04-19 |
| 1790137040 | Karen Lavoie | Counselor | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2016-07-11 |
| 1972962165 | Cowlitz Indian Tribe | Clinic/Center | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2016-02-16 |
| 1801202528 | Julie M. Peterson | Registered Nurse | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2014-07-02 |
| 1104261817 | Kara D Frizzell | Social Worker | 7700 Ne 26th Ave, Vancouver, WA 98665-0672 | 2013-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
| 1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
| 1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
| 1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
| 1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
| 1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
| 1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
| 1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
| 1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
| Find all providers in zip 98665 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012332 | Beatriz Soto Martinez | Counselor | 6816 Ne 131st Ave Unit 128, Vancouver, WA 98682-4625 | 2020-01-10 |
| 1871140350 | Anthony Douglas Dejesus | Counselor | 4305 Ne Thurston Way Ste E, Vancouver, WA 98662-6655 | 2019-08-20 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1811460231 | Matthew Mcelveen | Counselor | 4000 Ne 94th St, Vancouver, WA 98665-5313 | 2019-01-08 |
| 1164910840 | Lucyann Kendall | Counselor | 4949 Ne St Johns Rd Apt 1, Vancouver, WA 98661-2536 | 2018-04-27 |
| 1609364413 | Amanda Boden | Counselor | 12503 Se Mill Plain Blvd Ste 119a, Vancouver, WA 98684-4007 | 2018-04-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1922501998 | Carl Albert Robinson | Counselor | 1601 E Fourth Plain Blvd Bldg 17b222, Vancouver, WA 98661-3713 | 2018-03-15 |
| 1891200531 | Craig Goold | Counselor | 18908 Se 23rd St, Vancouver, WA 98683-9793 | 2017-12-04 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on CHRISTOPHER TODD LAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.