PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1538458807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538458807 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Other Organization Name | PROVIDENCE ST VINCENT HEART CLINIC CARDIOLOGY MILL PLAIN |
| Practice Address |
315 Se Stone Mill Dr Suite 220 Vancouver WA 98684-6987 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 3608162700 |
| Practice Fax Number | 3608162710 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | MR. DONALD W ANDERSON JR. (DIR REIMB REG STRAT/ASST SEC ENROLL) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence St Vincent Heart Clinic Cardiology Mill Plain | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
| 1023440435 | Providence Health & Services - Oregon | General Acute Care Hospital | 11445 Se Moon Dust Ct, Happy Valley, OR 97086-8033 | 2013-08-08 |
| 1568793313 | Providence Health & Services - Oregon | Clinic/Center | 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 | 2010-01-19 |
| 1508015348 | Providence Health & Services - Oregon | Clinic/Center | 16180 Se Sunnyside Road, Suite 102, Happy Valley, OR 97015-6302 | 2008-09-17 |
| 1114085545 | Providence Health & Services - Oregon | Internal Medicine | 1314 E Sherman St, Newberg, OR 97132-1842 | 2006-12-05 |
| 1629146121 | Providence Health & Services - Oregon | Otolaryngology | 310 Villa Rd, Suite 104, Newberg, OR 97132-1886 | 2006-12-01 |
| 1992882500 | Providence Health & Services - Oregon | Clinic/Center | 205 N Phoenix Rd, Suite A, Phoenix, OR 97535-9104 | 2006-11-01 |
| 1013018175 | Providence Health & Services - Oregon | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2006-09-25 |
| 1447799523 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd Ste 170, Medford, OR 97504-5590 | 2017-02-22 |
| 1063963106 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2016-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Oregon | 1801 Lind Avenue, Sw, Renton, WA 98057-9016 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 4400 Ne Halsey St Bldg 2 Ste 690, Portland, OR 97213-1545 |
| Iowa Business Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave. Sw, Renton, WA 98057 |
| Washington State Corporations | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
| Street Address |
315 SE STONE MILL DR SUITE 220 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753099 | Fatima S Shah | Family Medicine | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2005-07-08 |
| 1982026241 | Providence Health & Services - Oregon | Clinic/Center | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2014-01-06 |
| 1982030656 | Providence Health & Services - Oregon | Clinic/Center | 315 Se Stone Mill Dr, Suite 200, Vancouver, WA 98684-6998 | 2013-09-25 |
| 1073896551 | Providence Health & Services-oregon | Radiologic Technologist | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2011-09-21 |
| 1639303944 | Cara Davidson Ellis | Family Medicine | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2009-05-14 |
| 1629225404 | Linda Ruth Klein | Family Medicine | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2008-08-22 |
| 1699921387 | Huma I Sadiq | Family Medicine | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2008-08-13 |
| 1326294117 | Providence Health & Services Oregon | Radiology | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6987 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881109361 | Advanced Acupuncture, Inc. | Clinic/Center | 9411 Ne Highway 99 Ste 1, Vancouver, WA 98665-8970 | 2017-12-06 |
| 1699144865 | Planned Parenthood of The Columbia/willamette | Clinic/Center | 11516 Se Mill Plain Blvd Ste 2e, Suite 2e, Vancouver, WA 98684-5082 | 2015-09-17 |
| 1265842041 | Onsite Doctors, LLC | Clinic/Center | 1800 Se Columbia River Dr., Vancouver, WA 98661 | 2014-05-02 |
| 1942641584 | Pnw Ent | Clinic/Center | 718 Ne 87th Ave, Vancouver, WA 98664-1970 | 2013-07-11 |
| 1538709803 | Legacy Salmon Creek Hospital | Clinic/Center | 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 | 2020-01-14 |
| 1851944375 | Ideal Option, Pllc | Clinic/Center | 315 W Mill Plain Blvd Ste 200, Vancouver, WA 98660-3999 | 2019-07-23 |
| 1225507890 | Columbia Family Medicine Clinic LLC | Clinic/Center | 3606 Main St, Vancouver, WA 98663-2257 | 2018-11-13 |
| 1801319827 | Siloam Ps | Clinic/Center | 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 | 2017-07-21 |
| 1841737699 | Legacy Salmon Creek Im | Clinic/Center | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2325 | 2017-01-31 |
| 1912369430 | Plum Village Wellness | Clinic/Center | 202 E Mcloughlin Blvd, 201, Vancouver, WA 98663-3369 | 2016-03-23 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.