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

Providence Health & Services Oregon

Organization Family Medicine Physician · NPI 1326294117

Providence Health & Services Oregon is a Family Medicine Physician in Vancouver, Washington. Works from 2 locations. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
8

Practice location Address checks out

315 SE Stone Mill Dr Ste 102
Vancouver, WA 98684-6987
Phone: (360) 816-2700
Fax: (360) 816-2710
Show map & directions

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

Additional practice locations (1)

  • 222 Ne Park Plaza Dr Ste 120, Vancouver, WA 98684-5897 — (360) 253-8285

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Physical Therapist Taxonomy 225100000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1326294117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group Mill Plain
NPI enumeratedAugust 12, 2008
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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