PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1104109677
Physical Therapist in Vancouver, WA

Active since September 21, 2011
3101 SE 192ND AVE, SUITE 104, VANCOUVER, WA 98683(360) 553-7480(360) 553-7485 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Jan 17, 2019 (2 updates tracked since 2019).

About Providence Health & Services - Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1104109677), doing business as Providence Rehab Services-camas, is a healthcare organization registered as a physical therapist in Vancouver, Washington and active in the NPI registry since September 2011. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1104109677
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address3101 SE 192ND AVE, SUITE 104Vancouver, WA 98683-1442
Mailing AddressPo Box 3395Portland, OR 97208-3395 · (503) 215-4323 · Fax (503) 215-0297
Fax(360) 553-7485
Organization SubpartYes
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateSeptember 21, 2011
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1104109677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
3101 SE 192ND AVE, Vancouver, WA 98683

Other Names 1

Doing Business AsProvidence Rehab Services-camas

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3101 SE 192ND AVE, SUITE 104
VANCOUVER, WA 98683
Physician Assistant
3101 SE 192ND AVE, SUITE 106
VANCOUVER, WA 98683
Family Medicine
3101 SE 192ND AVE, SUITE 106
VANCOUVER, WA 98683
Family Medicine
3101 SE 192ND AVE, STE 106
VANCOUVER, WA 98683
Speech-Language Pathologist
3101 SE 192ND AVE
VANCOUVER, WA 98683
Family Medicine
3101 SE 192ND AVE, SUITE 106
VANCOUVER, WA 98683
Physical Therapist
3101 SE 192ND AVE
VANCOUVER, WA 98683
Family Medicine
3101 SE 192ND AVE, SUITE 106
VANCOUVER, WA 98683

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1104109677. It was assigned to this organization in the NPPES registry on September 21, 2011. The provider is doing business as Providence Rehab Services-Camas.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 3101 SE 192nd Ave Suite 104, Vancouver, WA 98683. The listed phone number is (360) 553-7480.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.