MR. DWIGHT READ MILNE III (NPI# 1811009509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811009509 |
| Entity Type | Individual |
| Full Name | MR. DWIGHT READ MILNE III |
| Credential | PMHNP |
| Practice Address |
12607 Se Mill Plain Blvd Vancouver WA 98684-6055 |
| Mailing Address |
5410 Nw Cherry St Vancouver WA 98663-1530 |
| Practice Telephone | 3604186001 |
| Mailing Telephone | 3606943896 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
WA AP30004866 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
12607 SE MILL PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659340735 | Richard M Shuey | Psychiatry & Neurology | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2006-03-14 |
| 1447883020 | Kendra M Latimer | Case Manager/Care Coordinator | 12607 Se Mill Plain Blvd, Vancouver, WA 98684 | 2020-02-21 |
| 1285273086 | Leayn N Vandeven | Student in an Organized Health Care Education/Training Program | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-12-27 |
| 1528605342 | Jeff Cooksey | Student in an Organized Health Care Education/Training Program | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-12-01 |
| 1104461961 | Fidel Hernandez Jr. | Nurse Practitioner | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-11-15 |
| 1518516822 | Tameca Vernee Pryce | Respiratory Therapist, Certified | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-09-09 |
| 1700348042 | Beredu Abraham Geleto | Registered Nurse | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2019-04-04 |
| 1942772660 | Patricia Maria Rivera | Psychologist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2018-12-19 |
| 1992288328 | Irene Moulton | Pharmacist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2018-09-12 |
| 1962982348 | Christina Kirkpatrick | Student in an Organized Health Care Education/Training Program | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2018-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255607818 | Arundhati Undurti | Psychiatry & Neurology | 2525 Ne 139th St # 150, Vancouver, WA 98686-2719 | 2012-03-28 |
| 1487886099 | Preetha S Rosen | Psychiatry & Neurology | 2501 Ne 134th St Ste 203, Vancouver, WA 98686-3028 | 2009-08-14 |
| 1538317524 | Sheela M Choppala-nestor | Psychiatry & Neurology | 14508 Ne 20th Avenue, Suite 305, Vancouver, WA 98686 | 2008-09-03 |
| 1104041813 | Bruce C. Johnson | Psychiatry & Neurology | 748 Se Fairwinds Loop, Vancouver, WA 98661-8087 | 2007-04-16 |
| 1750441929 | Lawrence Young Kim | Psychiatry & Neurology | 1309 Ne 151st Ave, Vancouver, WA 98684-3657 | 2006-12-11 |
| 1356401103 | Rae Wisler | Psychiatry & Neurology | 4603 Ne St Johns Rd, Suite C, Vancouver, WA 98661-2587 | 2006-12-11 |
| 1144311127 | Daniel Francis Lam | Psychiatry & Neurology | 2215 Broadway, Vancouver, WA 98663 | 2006-09-27 |
| 1609979558 | Elia R Gonzalez-rodriguez | Psychiatry & Neurology | 601 Main St Ste 505, Vancouver, WA 98660-3414 | 2006-09-06 |
| 1659340735 | Richard M Shuey | Psychiatry & Neurology | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2006-03-14 |
| 1235117813 | Conrad M Swartz | Psychiatry & Neurology | 12911 Nw 25th Ct, Vancouver, WA 98685-2036 | 2006-01-04 |
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| 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.