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

Douglas G Wysham, MD

Individual provider Cardiovascular Disease Physician · NPI 1275526360

Douglas G Wysham, MD is a Cardiovascular Disease Physician in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 NE 87th Ave
Vancouver, WA 98664-1913
Phone: (360) 882-3662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence MD00029442 (WA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD00029442 (WA)

Record details

NPI number1275526360
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESNovember 7, 2016
Mailing addressPo Box 873010, Vancouver, WA 98687-3010

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