1. Home
  2. Directory
  3. Washington
  4. Battle Ground
  5. Family Medicine
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1194013144
Family Medicine in Battle Ground, WA

Active since July 12, 2011
101 NW 12TH AVE, SUITE 107, BATTLE GROUND, WA 98604(360) 666-4480(360) 666-4485 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Sep 10, 2024 and 1 more (4 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1194013144), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Battle Ground, Washington and active in the NPI registry since July 2011. The organization maintains a secondary practice location in Vancouver and lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1194013144
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address101 NW 12TH AVE, SUITE 107Battle Ground, WA 98604-9141
Mailing AddressPo Box 31001-4180Pasadena, CA 91110-4180
Phone(360) 666-4480
Fax(360) 666-4485
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateJuly 12, 2011
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1194013144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
101 NW 12TH AVE, Battle Ground, WA 98604
Open in Google Maps ↗

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Battle Ground Family Medicine

Secondary Practice Location 1

Location 13101 SE 192nd Ave Ste 103Vancouver, WA 98683-1443 · Phone (360) 666-4480

Other Identifiers 1

Medicaid500639583OR

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 13

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

MARGARET RUTLEDGE
Registered Nurse
101 NW 12TH AVE
BATTLE GROUND, WA 98604
Clark County (360) 723-0528
BRANDY C MILES LMP
Specialist
101 NW 12TH AVE, STE. 125
BATTLE GROUND, WA 98604
Clark County (360) 687-6307
KIRSTEN A HOLMES PA-C
Physician Assistant
101 NW 12TH AVE, STE 107
BATTLE GROUND, WA 98604
Clark County (360) 687-6650
PROVIDENCE HEALTH & SERVICES-OREGON
Radiologic Technologist
101 NW 12TH AVE, SUITE 107
BATTLE GROUND, WA 98604
Clark County (360) 687-6655
MOUNTAIN VIEW MEDICAL, PLLC
Family Medicine
101 NW 12TH AVE, STE 107
BATTLE GROUND, WA 98604
Clark County (360) 666-8418
ARTHUR J SIMONS M.D.
Family Medicine
101 NW 12TH AVE, STE 107
BATTLE GROUND, WA 98604
Clark County (360) 666-8418
KATHLEEN ANN MCCORMICK MD
Family Medicine
101 NW 12TH AVE, SUITE 107
BATTLE GROUND, WA 98604
Clark County (360) 687-6650
SARA REID FNP
Nurse Practitioner (Family)
101 NW 12TH AVE
BATTLE GROUND, WA 98604
Clark County (360) 687-6650

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 1194013144. It was assigned to this organization in the NPPES registry on July 12, 2011. The provider is doing business as Providence Medical Group and Providence Medical Group Battle Ground Family Medicine.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 101 NW 12th Ave Suite 107, Battle Ground, WA 98604. The listed phone number is (360) 666-4480.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.