Healthcare Provider Details

I. General information

NPI: 1679496012
Provider Name (Legal Business Name): PEAK DEVELOPMENTAL PEDIATRICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 NE GREENWOOD DR STE 220
VANCOUVER WA
98662-7904
US

IV. Provider business mailing address

7710 NE GREENWOOD DR STE 220
VANCOUVER WA
98662-7904
US

V. Phone/Fax

Practice location:
  • Phone: 360-587-7338
  • Fax: 360-587-7339
Mailing address:
  • Phone: 360-587-7338
  • Fax: 360-587-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ADAM LEE HUILLET
Title or Position: OWNER
Credential: MD
Phone: 253-224-1339