Healthcare Provider Details

I. General information

NPI: 1346131307
Provider Name (Legal Business Name): DOROTHY MARIE HALE APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 21ST ST
ANACORTES WA
98221-2515
US

IV. Provider business mailing address

1019 21ST ST
ANACORTES WA
98221-2515
US

V. Phone/Fax

Practice location:
  • Phone: 360-777-5435
  • Fax: 360-317-2945
Mailing address:
  • Phone: 360-777-5435
  • Fax: 360-317-2945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70017136
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: