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PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1144536269
Internal Medicine - Cardiovascular Disease in Enterprise, OR

Active since August 26, 2010
107 SW 1ST ST, SUITE 104, ENTERPRISE, OR 97828(509) 838-7711 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1144536269), doing business as Providence Sponake Heart Institute, is a healthcare organization registered as a cardiovascular disease in Enterprise, Oregon and active in the NPI registry since August 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1144536269
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address107 SW 1ST ST, SUITE 104Enterprise, OR 97828
Mailing Address122 W 7th AveSpokane, WA 99204-2349 · (509) 838-7711
Phone(509) 838-7711
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateAugust 26, 2010
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1144536269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
107 SW 1ST ST, Enterprise, OR 97828
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Other Names 1

Doing Business AsProvidence Sponake Heart Institute

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 3

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

KRISTA NICOLE KLINE M.S., CCC-SLP
Speech-Language Pathologist
107 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-7600
LAWRENCE LEONARD WOODS
Family Medicine
107 SW 1ST ST, SUITE 104
ENTERPRISE, OR 97828
Wallowa County (541) 426-6070
WINDING WATERS MEDICAL CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
107 SW 1ST ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4502

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 - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1144536269. It was assigned to this organization in the NPPES registry on August 26, 2010. The provider is doing business as Providence Sponake Heart Institute.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 107 SW 1st St Suite 104, Enterprise, OR 97828. The listed phone number is (509) 838-7711.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.