Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peacehealth

Organization Surgery Physician · NPI 1609061969

Peacehealth is a Surgery Physician in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

505 NE 87th Ave Ste 301
Vancouver, WA 98664-1965
Phone: (360) 514-7374
Fax: (360) 514-7384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD00027022 (WA)

Record details

NPI number1609061969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darrin Montalvo — Evp Chief Finan-Growth Officer · (360) 729-1102
Other names Peacehealth Medical Group
NPI enumeratedSeptember 10, 2007
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing address1115 Se 164th Ave, Dept 358, Vancouver, WA 98683-9324

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