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

Providence Health & Services Oregon

Organization Internal Medicine Physician · NPI 1649541020

Providence Health & Services Oregon is an Internal Medicine Physician in White Salmon, Washington. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

65371 Highway 14
White Salmon, WA 98672-8690
Phone: (503) 216-0790
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1649541020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Columbia Gorge Heart Clinic; Providence Medical Group
NPI enumeratedJanuary 18, 2012
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180