PROVIDENCE HEALTH & SERVICES OREGON
NPI 1356763619
Radiology - Diagnostic Radiology in Vancouver, WA
About Providence Health & Services Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES OREGON (NPI 1356763619), doing business as Providence Medical Group, is a healthcare organization registered as a diagnostic radiology in Vancouver, Washington and active in the NPI registry since January 2014. The organization maintains a secondary practice location in Battle Ground and lists Donald Wayne Anderson, Asst Secretary For Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
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
1,560Medicare enrollment records show 1,560 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 464 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 56
Nearest to this location (20)
See all 1,560Source: 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 1356763619. It was assigned to this organization in the NPPES registry on January 6, 2014. The provider is doing business as Providence Medical Group.
Where is Providence Health & Services Oregon located?
Providence Health & Services Oregon is located at 3101 SE 192nd Ave Ste 103, Vancouver, WA 98683. The listed phone number is (360) 666-4480.
What is Providence Health & Services Oregon's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
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), 1,560 clinicians in 56 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 Internal Medicine (251), Family Practice (213) and Nurse Practitioner (210). Of these, 464 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 July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Providence Health & Services Oregon · NPI 1356763619
Diagnostic Radiology organization in Vancouver, Washington. Organization record, active in the CMS NPPES registry since January 6, 2014.
## Identity
- **NPI:** 1356763619 (Entity type: Organization)
- **Enumerated:** January 6, 2014
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Also known as:** PROVIDENCE MEDICAL GROUP (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASST SECRETARY FOR ENROLLMENTS
## Practice location
- **Address:** 3101 SE 192ND AVE STE 103, Vancouver, WA 98683-1443
- **Phone:** (360) 666-4480 · **Fax:** (360) 666-4485
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,560 clinicians in 56 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (251), Family Practice (213), Nurse Practitioner (210); 464 practice within 10 miles; [full list](https://npiprofile.com/npi/1356763619/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 4, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1356763619) · Data from the CMS NPPES public registry.