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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: November 01, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

76

Medicare enrollment records show 76 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Neurology34
Cardiovascular Disease (Cardiology)8
Psychiatry8
Hospitalist6
Infectious Disease6
Critical Care (Intensivists)5
Advanced Heart Failure and Transplant Cardiology3
Internal Medicine2
4 other specialties4

Nearest to this location (20)

See all 76
Joseph Freeburg, M.D.
Neurology
NPI 1174898381
2211 NE 139TH ST STE 3E120
Vancouver, WA 98686
(360) 487-5342
✔ PECOS✔ Accepts Medicare6.4 mi
Meghan Moyle, D.O.
Family Practice
NPI 1386081149
315 SE STONEMILL DR STE 102
Vancouver, WA 98684
(360) 816-2700
✔ PECOS✔ Accepts Medicare11 mi
Xiaoyan Huang, MD
Cardiovascular Disease (Cardiology)
NPI 1346232857
4400 NE HALSEY ST STE 102
Portland, OR 97213
(503) 962-1000
✔ PECOS✔ Accepts Medicare18 mi
Nicholas Stucky, M.D., PH.D.
Infectious Disease
NPI 1912265190
5050 NE HOYT ST STE 540
Portland, OR 97213
(503) 215-6601
✔ PECOS✔ Accepts Medicare18 mi
Lesley Bobek, M.D.
Internal Medicine
NPI 1922202787
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare22 mi
Todd Caulfield, MD
Cardiovascular Disease (Cardiology)
NPI 1710921085
9427 SW BARNES RD STE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare22 mi
Jacob Abraham, M.D.
Advanced Heart Failure and Transplant Cardiology
NPI 1548223381
9427 SW BARNES ROAD SUITE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare22 mi
Joshua Remick, M.D.
Advanced Heart Failure and Transplant Cardiology
NPI 1861697682
9427 SW BARNES RD SUITE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare22 mi
Lori Tam
Cardiovascular Disease (Cardiology)
NPI 1306036108
9427 SW BARNES RD SUITE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare22 mi
Logan Vincent, M.D.
Cardiovascular Disease (Cardiology)
NPI 1164764288
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 962-1000
✔ PECOS✔ Accepts Medicare22 mi
Geoffrey Wilson, MD
Cardiovascular Disease (Cardiology)
NPI 1336185438
9427 SW BARNES RD STE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare22 mi
Michael Wilson, MD
Interventional Cardiology
NPI 1871539973
9427 SW BARNES RD STE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare22 mi
Kevin Woolf, MD
Cardiovascular Disease (Cardiology)
NPI 1265580054
7305 SE CIRCUIT DR STE 220
Hillsboro, OR 97123
(503) 962-1000
✔ PECOS✔ Accepts Medicare26 mi
Lian Shaw, MD
Cardiovascular Disease (Cardiology)
NPI 1154379576
1003 PROVIDENCE DR SUITE 325
Newberg, OR 97132
(503) 216-2188
✔ PECOS✔ Accepts Medicare38 mi
Alicia Ross, M.D.
Advanced Heart Failure and Transplant Cardiology
NPI 1811053911
1304 MONTELLO AVE
Hood River, OR 97031
(541) 387-1950
✔ PECOS✔ Accepts Medicare50 mi
Robert Morse, D.O.
Cardiovascular Disease (Cardiology)
NPI 1174555312
1355 EXCHANGE ST
Astoria, OR 97103
(503) 717-7850
✔ PECOS✔ Accepts Medicare68 mi
Corey White, DO, MBA
Neurology
NPI 1154610814
525 LILLY RD NE
Olympia, WA 98506
(360) 413-8550
✔ PECOS✔ Accepts Medicare89 mi
Binod Wagle, MD
Neurology
NPI 1538392659
525 LILLY RD NE STE 210
Olympia, WA 98506
(360) 413-8550
✔ PECOS✔ Accepts Medicare89 mi
Derek Yu, MD
Neurology
NPI 1568889731
301 S 320TH ST
Federal Way, WA 98003
(253) 874-7000
✔ PECOS✔ Accepts Medicare106 mi
Christopher Dale, MD
Critical Care (Intensivists)
NPI 1700922143
751 NE BLAKELY DR
Issaquah, WA 98029
(206) 215-2520
✔ PECOS✔ Accepts Medicare124 mi
See all 76 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 76 clinicians in 12 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (34), Cardiovascular Disease (Cardiology) (8) and Psychiatry (8). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16 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.