Providence Health & Services - Oregon
NPI 1104109677 · Physical Therapist · Vancouver, WA
Providence Health & Services - Oregon is a Physical Therapist organization in Vancouver, WA (NPI 1104109677).
Provider details
- NPI number
- 1104109677
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Providence Health & Services - Oregon
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Rehab Services-Camas
- Doing business as
- Providence Rehab Services-Camas
Registry dates
- Enumerated
- 2011-09-21
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Frequently asked questions
- What is Providence Health & Services - Oregon's NPI number?
- Providence Health & Services - Oregon's National Provider Identifier (NPI) is 1104109677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Services - Oregon?
- Providence Health & Services - Oregon is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Providence Health & Services - Oregon located?
- Providence Health & Services - Oregon's practice location on file with NPPES is 3101 Se 192nd Ave, Vancouver, WA 98683-1442.
- What is Providence Health & Services - Oregon's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Services - Oregon is (360) 553-7480.
- Who is the authorized official for Providence Health & Services - Oregon?
- The authorized official listed on Providence Health & Services - Oregon's NPPES record is Donald Anderson, Assistant Secretary Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health & Services - Oregon's NPI active?
- Yes — Providence Health & Services - Oregon's NPI (1104109677) is active in the NPPES registry as of the last update on 2025-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.