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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1336543560
Clinic/Center in Vancouver, WA

Active since October 17, 2014
315 SE STONEMILL DR, SUITE 220, VANCOUVER, WA 98684(503) 717-7147 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 4, 2025, May 16, 2025, Jan 15, 2021 (3 updates tracked since 2021).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1336543560), doing business as Providence Medical Group, is a healthcare organization registered as a clinic/center in Vancouver, Washington and active in the NPI registry since October 2014. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1336543560
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address315 SE STONEMILL DR, SUITE 220Vancouver, WA 98684-6987
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 717-7147
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateOctober 17, 2014
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1336543560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
315 SE STONEMILL DR, Vancouver, WA 98684
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Neurological Specialties Mill Plain

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.

ALENA LEE
Psychologist
315 SE STONEMILL DR
VANCOUVER, WA 98684
Clark County (360) 729-8020
THE OREGON CLINIC PC
Specialist
315 SE STONEMILL DR, SUITE 220
VANCOUVER, WA 98684
Clark County (503) 963-2707
ANDREA MARIE BUCKLER D.O.
Family Medicine
315 SE STONEMILL DR, SUITE 102
VANCOUVER, WA 98684
Clark County (360) 816-2700
JOSH ALLEN OSTRUE D.O.
Family Medicine
315 SE STONEMILL DR
VANCOUVER, WA 98684
Clark County (360) 729-8020
CHRISTINE B GREEN PSY.D.
Psychologist
315 SE STONEMILL DR, SUITE 102
VANCOUVER, WA 98684
Clark County (360) 816-2700
DR. CHRISTOPHER LYNN GILBERT MD
Family Medicine
315 SE STONEMILL DR, SUITE 102
VANCOUVER, WA 98684
Clark County (360) 816-2700
HUMA I SADIQ MD
Family Medicine
315 SE STONEMILL DR, SUITE 102
VANCOUVER, WA 98684
Clark County (360) 816-2700
DR. JAMIE LYNN DAILEY M.D.
Family Medicine
315 SE STONEMILL DR, SUITE 102
VANCOUVER, WA 98684
Clark County (360) 816-2700

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 1336543560. It was assigned to this organization in the NPPES registry on October 17, 2014. The provider is doing business as Providence Medical Group and Providence Neurological Specialties Mill Plain.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 315 SE Stonemill Dr Suite 220, Vancouver, WA 98684. The listed phone number is (503) 717-7147.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on July 4, 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.