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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1538458807
Clinic/Center in Vancouver, WA

Active since April 07, 2011
315 SE STONE MILL DR, SUITE 220, VANCOUVER, WA 98684(360) 816-2700(360) 816-2710 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 4, 2025, May 16, 2025, Sep 16, 2020 (3 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1538458807), doing business as Providence St Vincent Heart Clinic Cardiology Mill Plain, is a healthcare organization registered as a clinic/center in Vancouver, Washington and active in the NPI registry since April 2011. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1538458807
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address315 SE STONE MILL DR, SUITE 220Vancouver, WA 98684-6987
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(360) 816-2700
Fax(360) 816-2710
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateApril 7, 2011
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1538458807 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 ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
315 SE STONE MILL DR, Vancouver, WA 98684
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Other Names 1

Doing Business AsProvidence St Vincent Heart Clinic Cardiology 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

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

76

Medicare enrollment records show 76 clinicians reassign Medicare billing to Providence Health & 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 Medicare8.8 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 & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1538458807. It was assigned to this organization in the NPPES registry on April 7, 2011. The provider is doing business as Providence St Vincent Heart Clinic Cardiology Mill Plain.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 315 SE Stone Mill Dr Suite 220, Vancouver, WA 98684. The listed phone number is (360) 816-2700.

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

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

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), 76 clinicians in 12 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 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 & 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.