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

Providence Health & Services - Washington

Organization Cardiovascular Disease Physician · NPI 1144536269

Providence Health & Services - Washington is a Cardiovascular Disease Physician in Enterprise, Oregon. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

107 SW 1st St Ste 104
Enterprise, OR 97828
Phone: (509) 838-7711
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1144536269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Sponake Heart Institute
NPI enumeratedAugust 26, 2010
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address122 W 7th Ave, Spokane, WA 99204-2349