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

Providence Health & Services - Oregon

Organization Neurology Physician · NPI 1336543560

Providence Health & Services - Oregon is a Neurology Physician in Vancouver, Washington. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

315 SE Stonemill Dr Ste 220
Vancouver, WA 98684-6987
Phone: (503) 717-7147
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1336543560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Neurological Specialties Mill Plain
NPI enumeratedOctober 17, 2014
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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