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

Providence Health & Services Oregon

Organization Diagnostic Radiology Physician · NPI 1356763619

Providence Health & Services Oregon is a Diagnostic Radiology Physician in Vancouver, Washington. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

3101 SE 192nd Ave Ste 103
Vancouver, WA 98683-1443
Phone: (360) 666-4480
Fax: (360) 666-4485
Show map & directions

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

Additional practice locations (1)

  • 101 Nw 12th Ave, Battle Ground, WA 98604-9141 — (360) 687-6655

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1356763619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Secretary For Enrollments · (425) 538-9786
Other names Providence Medical Group
NPI enumeratedJanuary 6, 2014
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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