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PROVIDENCE HEALTH & SERVICES OREGON
NPI 1356763619
Radiology - Diagnostic Radiology in Vancouver, WA

Active since January 06, 2014
3101 SE 192ND AVE STE 103, VANCOUVER, WA 98683(360) 666-4480(360) 666-4485 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2025, May 16, 2025, Feb 13, 2019 (3 updates tracked since 2019).

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

NPI1356763619
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address3101 SE 192ND AVE STE 103Vancouver, WA 98683-1443
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(360) 666-4480
Fax(360) 666-4485
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Secretary For Enrollments · (425) 538-9786
Enumeration DateJanuary 6, 2014
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1356763619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3101 SE 192ND AVE STE 103, Vancouver, WA 98683
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Other Names 1

Doing Business AsProvidence Medical Group

Secondary Practice Location 1

Location 1101 NW 12th Ave, SUITE 107Battle Ground, WA 98604-9141 · Phone (360) 687-6655 · Fax (360) 687-6669

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.

LISA KAY HOLBROOK MD
Family Medicine
3101 SE 192ND AVE STE 103
VANCOUVER, WA 98683
Clark County (360) 666-4480
KARIN S LLOYD PHD
Psychologist
3101 SE 192ND AVE STE 103
VANCOUVER, WA 98683
Clark County (360) 666-4480
YAHN KUN CHIOU MD
Family Medicine
3101 SE 192ND AVE STE 103
VANCOUVER, WA 98683
Clark County (360) 666-4480

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.

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.