Providence Health and Services Oregon
NPI 1366748550 · Family Medicine Physician · Vancouver, WA
Providence Health and Services Oregon is a Family Medicine Physician organization in Vancouver, WA (NPI 1366748550).
Provider details
- NPI number
- 1366748550
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 Medical Group
Additional practice locations (1)
- 101 Nw 12th AvenueSuite 107Battle Ground, WA 98604-9141Phone: (360) 666-8418Fax: (360) 666-8599
Registry dates
- Enumerated
- 2011-02-04
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Frequently asked questions
- What is Providence Health and Services Oregon's NPI number?
- Providence Health and Services Oregon's National Provider Identifier (NPI) is 1366748550, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health and Services Oregon?
- Providence Health and Services Oregon is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health and Services Oregon located?
- Providence Health and Services Oregon's practice location on file with NPPES is 315 Se Stonemill Dr Ste 220, Vancouver, WA 98684-6987.
- What is Providence Health and Services Oregon's phone number?
- The practice phone number listed in the NPPES registry for Providence Health and Services Oregon is (360) 687-6650.
- Who is the authorized official for Providence Health and Services Oregon?
- The authorized official listed on Providence Health and 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 and Services Oregon's NPI active?
- Yes — Providence Health and Services Oregon's NPI (1366748550) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.