Healthcare Provider Details

I. General information

NPI: 1033304159
Provider Name (Legal Business Name): LAUREN RILEY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN GUY

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7507 NE 51ST ST
VANCOUVER WA
98662-6007
US

IV. Provider business mailing address

7507 NE 51ST ST
VANCOUVER WA
98662-6007
US

V. Phone/Fax

Practice location:
  • Phone: 360-906-1190
  • Fax: 360-906-1193
Mailing address:
  • Phone: 360-906-1190
  • Fax: 360-906-1193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSYC.PY.61621396
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: