PROVIDENCE HEALTH & SERVICES - OREGON NPI 1669765244

NPI Information

  • NPI: 1669765244
  • Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 50D2022855
  • Address: 3101 SE 192ND AVE
    SUITE 106
    VANCOUVER, WA
    ZIP 98683
  • Phone: (360) 553-7400

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NPI Details

PROVIDENCE HEALTH & SERVICES - OREGON is a family medicine in Vancouver, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1669765244. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3101 SE 192ND AVE
SUITE 106
VANCOUVER, WA
ZIP 98683-443
Phone: (360) 553-7400

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary Enrollments and has the following contact phone number (425) 358-9786.

The CLIA number assigned to this NPI record is 50D2022855 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2011 and was last updated on 6/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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