Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669043188 Individual Practitioner Female Practitioner

Lawrence Dockery , CG61106653

Peer Specialist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Lawrence Dockery, CG61106653 is a registered healthcare professional specializing in Peer Specialist in Vancouver, WA. Practice services are available at 1601 E FOURTH PLAIN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1601 E Fourth Plain Blvd

Vancouver, WA 986613713

Telephone 3602051222
Associated Practice Facility / Clinic
🏢 Portland Vamc Facility NPI 1487698601

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
145 Specialists

Practicing in Vancouver, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG61106653

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Shawn Woitte , SUDPT

Case Manager/Care Coordinator

NPI 1013788447
Gabrielle Solario , CG

Peer Specialist

NPI 1023758943
Kristin Walker , BA, A

Counselor - Mental Health

NPI 1033847496

Bachelor of Arts, A

Lilliana Miller , AAC

Case Manager/Care Coordinator

NPI 1083352041
Alicia Stowe

Peer Specialist

NPI 1093426538
Marc-Anthony Rivera

Case Manager/Care Coordinator

NPI 1093449134

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2021

Registered at 1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 986613713 (Tel: 3602051222)

📍
Updated Business Mailing Address July 06, 2021

Registered at 8717 NE 37TH AVE, VANCOUVER, WA 986651065 (Tel: 3603865183)

👤
Provider Name / Credentials Updated July 06, 2021

Recorded as LAWRENCE DOCKERY, CG61106653

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2021

Peer Specialist (License #CG61106653 in WA)

🟢
Initial NPI Registration & Enumeration July 06, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669043188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2021
Last Update: July 06, 2021
Sole Proprietor: Yes

Mailing Address

8717 Ne 37th Ave

Vancouver, WA 986651065

Phone: 3603865183

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.