PROVIDENCE HEALTH & SERVICES OREGON (NPI# 1649541020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649541020 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES OREGON |
| Other Organization Name | COLUMBIA GORGE HEART CLINIC |
| Practice Address |
211 Ne Skyline Dr White Salmon WA 98672 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5413876125 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2018-11-13 |
| Authorized Official Name | DONALD WAYNE ANDERSON (ASST CORP SEC FOR ENROLLMENTS) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Columbia Gorge Heart Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425693 | Providence Health & Services Oregon | Durable Medical Equipment & Medical Supplies | 2296 Nw Kings Blvd Ste 101, Corvallis, OR 97330-3871 | 2019-03-07 |
| 1841756764 | Providence Health & Services Oregon | Family Medicine | 171 N Larch St Ste 16, Cannon Beach, OR 97110-3103 | 2019-02-15 |
| 1346751443 | Providence Health & Services Oregon | General Practice | 4400 Ne Halsey St, Pop 2, 3rd Floor, Portland, OR 97213-1545 | 2017-10-16 |
| 1922453943 | Providence Health & Services Oregon | Assisted Living Facility | 1550 Brookside Dr, Hood River, OR 97031-8553 | 2016-04-27 |
| 1922330828 | Providence Health & Services Oregon | Pharmacy | 18040 Sw Lower Boones Ferry Rd Ste 104, Tigard, OR 97224-7259 | 2010-02-03 |
| 1801010004 | Providence Health & Services Oregon | Internal Medicine | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2007-04-12 |
| 1487746491 | Providence Health & Services Oregon | Home Health | 2033 Commerce Dr, Medford, OR 97504-9744 | 2006-09-28 |
| 1831196302 | Providence Health & Services Oregon | Home Health | 570 S Main Street, Mount Angel, OR 97362-9540 | 2005-06-30 |
| 1003319724 | Providence Health & Services Oregon | Clinic/Center | 5211 Ne Glisan St Bldg C, Portland, OR 97213-3052 | 2018-03-09 |
| 1972039170 | Providence Health & Services Oregon | Clinic/Center | 171 S Highway 101, Warrenton, OR 97146 | 2017-05-08 |
| Street Address |
211 NE SKYLINE DR |
| City | WHITE SALMON |
| State | WA |
| Zip Code | 98672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558724633 | Eric Carpenter | Physical Therapist | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 | 2016-04-05 |
| 1114358843 | Shelly Skiles | Physical Therapist | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 | 2013-12-05 |
| 1316378151 | Bree Hoomans | Physical Therapist | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 | 2013-12-04 |
| 1811328750 | David Wiltsie | Physical Therapist | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 | 2013-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570797 | Anna Coughlin | Lactation Consultant, Non-RN | 492 Se Wyers St, White Salmon, WA 98672 | 2020-05-21 |
| 1003206566 | Nicholas Santillano | Behavioral Analyst | 185 Ne Snohomish Ave Unit 724, White Salmon, WA 98672 | 2015-02-04 |
| 1356645576 | Paul Grim | Counselor | 70 North Estes, White Salmon, WA 98672 | 2011-01-03 |
| 1154623734 | Debra Ann Short | Nurse Practitioner | 181 W. Jewett Blvd, White Salmon, WA 98672 | 2010-12-02 |
| 1366742827 | Eileen L Rock | Mechanotherapist | 145 E Jewett Blvd, Suite #301, White Salmon, WA 98672 | 2010-10-29 |
| 1437389160 | W. Curtis Mathisen D.d.s. | Dentist | 640 N. Main St., White Salmon, WA 98672 | 2009-07-15 |
| 1477702207 | Jeniffer Lee Panko | Specialist | 100 Amour Ct, White Salmon, WA 98672 | 2008-09-17 |
| 1871741447 | Barbara Ann Quinlan | Speech-Language Pathologist | 195 Cherry St., White Salmon, WA 98672 | 2008-09-08 |
| 1548427206 | Aaron A Edwards | Counselor | 432 Ne Tohomish Street, White Salmon, WA 98672 | 2008-05-20 |
| 1699941369 | Ticia Ann Blanck | Psychologist | #70 Estes Ave., White Salmon, WA 98672 | 2008-05-02 |
| Find all providers in zip 98672 | ||||
| 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 |
|---|---|---|---|---|
| 1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | WHITE SALMON |
| Zip Code | 98672 |
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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.