PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1982030656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982030656 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Other Organization Name | PROVIDENCE OCCUPATIONAL MEDICINE-MILL PLAIN |
| Practice Address |
315 Se Stone Mill Dr Suite 200 Vancouver WA 98684-6998 |
| Mailing Address |
Po Box 4388 Portland OR 97208-4388 |
| Practice Telephone | 3608363320 |
| Practice Fax Number | 3608363325 |
| Mailing Telephone | 5032167960 |
| Mailing Fax Number | 5032158887 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | DONALD W ANDERSON JR. (REIMBURSEMENT DIRECTOR-ADMINISTRATI) |
| Authorized Official Telephone | 5038937295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence Occupational Medicine-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 200 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6998 |
| 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 |
| 1073896551 | Providence Health & Services-oregon | Radiologic Technologist | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6998 | 2011-09-21 |
| 1538458807 | Providence Health & Services - Oregon | Internal Medicine | 315 Se Stone Mill Dr, Suite 220, Vancouver, WA 98684-6987 | 2011-04-07 |
| 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 | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851876619 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 1300 S 320th St Ste A, Federal Way, WA 98003-5359 | 2018-09-27 |
| 1386127181 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 140 4th Ave N Ste 150, Seattle, WA 98109-4940 | 2018-09-08 |
| 1134648546 | Sunnyside Community Hospital Association | Clinic/Center | 516 W 4th Ave, Toppenish, WA 98948-1616 | 2017-09-18 |
| 1881113298 | Sunnyside Community Hospital Association | Clinic/Center | 111 S 11th Ave Ste 320, Yakima, WA 98902-3273 | 2017-09-18 |
| 1134537780 | Infinity Rehab | Clinic/Center | 17517 52nd Ave W # B-2, Lynnwood, WA 98037-5701 | 2014-07-28 |
| 1366884504 | Whole Health Medical Group Ohio Professional Corporation | Clinic/Center | 1200 Merrill Creek Pkwy, Everett, WA 98203-7152 | 2013-07-29 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| 1639441165 | Central Washington Sleep Diagnostic Center, Pllc | Clinic/Center | 520 W Indian Avenue, Brewster, WA 98812 | 2012-01-30 |
| 1477713196 | Rainier Occupational Medical Center | Clinic/Center | 1400 South Jackson St, #24, Seattle, WA 98144-2096 | 2008-06-16 |
| 1972660520 | Eric S Smith Md Inc | Clinic/Center | 3010 Squalicum Parkway, Bellingham, WA 98225 | 2007-01-02 |
| Find all providers with the same taxonomy | ||||
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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.