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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: October 25, 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
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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

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 And 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 And Services Oregon, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 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
Meghan Moyle, D.O.
Family Practice
NPI 1386081149
315 SE STONEMILL DR STE 102
Vancouver, WA 98684
(360) 816-2700
✔ PECOS✔ Accepts MedicareSame address
Xiaoyan Huang, MD
Cardiovascular Disease (Cardiology)
NPI 1346232857
4400 NE HALSEY ST STE 102
Portland, OR 97213
(503) 962-1000
✔ PECOS✔ Accepts Medicare7.2 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 Medicare7.4 mi
Joseph Freeburg, M.D.
Neurology
NPI 1174898381
2211 NE 139TH ST STE 3E120
Vancouver, WA 98686
(360) 487-5342
✔ PECOS✔ Accepts Medicare8.9 mi
Lesley Bobek, M.D.
Internal Medicine
NPI 1922202787
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare14 mi
Todd Caulfield, MD
Cardiovascular Disease (Cardiology)
NPI 1710921085
9427 SW BARNES RD STE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare14 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 Medicare14 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 Medicare14 mi
Lori Tam
Cardiovascular Disease (Cardiology)
NPI 1306036108
9427 SW BARNES RD SUITE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare14 mi
Logan Vincent, M.D.
Cardiovascular Disease (Cardiology)
NPI 1164764288
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 962-1000
✔ PECOS✔ Accepts Medicare14 mi
Geoffrey Wilson, MD
Cardiovascular Disease (Cardiology)
NPI 1336185438
9427 SW BARNES RD STE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare14 mi
Michael Wilson, MD
Interventional Cardiology
NPI 1871539973
9427 SW BARNES RD STE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare14 mi
Kevin Woolf, MD
Cardiovascular Disease (Cardiology)
NPI 1265580054
7305 SE CIRCUIT DR STE 220
Hillsboro, OR 97123
(503) 962-1000
✔ PECOS✔ Accepts Medicare20 mi
Lian Shaw, MD
Cardiovascular Disease (Cardiology)
NPI 1154379576
1003 PROVIDENCE DR SUITE 325
Newberg, OR 97132
(503) 216-2188
✔ PECOS✔ Accepts Medicare29 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 Medicare49 mi
Robert Morse, D.O.
Cardiovascular Disease (Cardiology)
NPI 1174555312
1355 EXCHANGE ST
Astoria, OR 97103
(503) 717-7850
✔ PECOS✔ Accepts Medicare74 mi
Corey White, DO, MBA
Neurology
NPI 1154610814
525 LILLY RD NE
Olympia, WA 98506
(360) 413-8550
✔ PECOS✔ Accepts Medicare100 mi
Christopher Dale, MD
Critical Care (Intensivists)
NPI 1700922143
751 NE BLAKELY DR
Issaquah, WA 98029
(206) 215-2520
✔ PECOS✔ Accepts Medicare135 mi
Jake Choiniere, DO
Psychiatry
NPI 1578882452
751 NE BLAKELY DR STE 5010
Issaquah, WA 98029
(425) 394-0700
✔ PECOS✔ Accepts Medicare135 mi
Sonam Nyatsatsang, M.D.
Infectious Disease
NPI 1821288911
515 MINOR AVE SUITE 300
Seattle, WA 98104
(206) 386-9500
✔ PECOS✔ Accepts Medicare138 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 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.

Is Providence Health And Services Oregon enrolled in Medicare?

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

How many clinicians bill Medicare through Providence Health And 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 And 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 at this address and 4 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 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 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.