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

Providence Health and Services Oregon

Organization Family Medicine Physician · NPI 1366748550

Providence Health and Services Oregon is a Family Medicine Physician in Vancouver, Washington. Works from 2 locations. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

315 SE Stonemill Dr Ste 220
Vancouver, WA 98684-6987
Phone: (360) 687-6650
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 101 Nw 12th Avenue, Battle Ground, WA 98604-9141 — (360) 666-8418

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1366748550
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medical Group
NPI enumeratedFebruary 4, 2011
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Vancouver