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

PROVIDENCE HEALTH AND SERVICES OREGON
NPI 1366748550
Family Medicine in Vancouver, WA

Active since February 04, 2011
315 SE STONEMILL DR STE 220, VANCOUVER, WA 98684(360) 687-6650 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, May 16, 2025, Oct 3, 2024 and 1 more (4 updates tracked since 2021).

About Providence Health And Services Oregon NPPES

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

PROVIDENCE HEALTH AND SERVICES OREGON (NPI 1366748550), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Vancouver, Washington and active in the NPI registry since February 2011. The organization maintains a secondary practice location in Battle Ground and lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1366748550
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH AND SERVICES OREGON
Location Address315 SE STONEMILL DR STE 220Vancouver, WA 98684-6987
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (425) 358-9786 · Fax (503) 215-6271
Phone(360) 687-6650
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateFebruary 4, 2011
Last NPPES UpdateJune 30, 20254 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1366748550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/CenterTaxonomy 261Q00000X
315 SE STONEMILL DR STE 220, Vancouver, WA 98684
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Medical Group

Secondary Practice Location 1

Location 1101 NW 12TH AVENUE, SUITE 107BATTLE GROUND, WA 98604-9141 · Phone (360) 666-8418 · Fax (360) 666-8599

Other Providers at the Same Location NPPES

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

MAN KIT YUEN PA-C
Physician Assistant
315 SE STONEMILL DR STE 220
VANCOUVER, WA 98684
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 And Services Oregon's NPI number?

The NPI number for Providence Health And Services Oregon is 1366748550. It was assigned to this organization in the NPPES registry on February 4, 2011. The provider is doing business as Providence Medical Group.

Where is Providence Health And Services Oregon located?

Providence Health And Services Oregon is located at 315 SE Stonemill Dr Ste 220, Vancouver, WA 98684. The listed phone number is (360) 687-6650.

What is Providence Health And 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 And Services Oregon was last updated on June 30, 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.