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Ollie Gibson-Lavell, LICSW

NPI 1073096459 · on the registry since 2018

Practice

Address
19120 Se 34th St Ste 201
Vancouver, WA 98683
Phone
(360) 397-8246
Organisation at this address
Nw Affinity Dental
Columbia United Providers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
171M00000X
1041C0700X
1041C0700X
Licence states on file
WA, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington