Organization · Type 2 NPI

Providence Health & Services Oregon

Diagnostic Radiology Physician · Vancouver, WA

NPI number 1326294117 Active

Practice location

315 SE Stone Mill Dr, Suite 102
Vancouver, WA 98684-6987

Call (360) 816-2700 Map

Fax (360) 816-2710

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Other practice locations

222 NE Park Plaza Dr Ste 120, Vancouver, WA 98684-5897 · (360) 253-8285

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Geriatric Medicine (Internal Medicine) Physician	207RG0300X	None listed
Diagnostic Radiology Physician Primary	2085R0202X	None listed
Physical Therapist	225100000X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

7 other providers at this address

Other diagnostic radiology physician providers in Vancouver

See all in Vancouver →

NPI record

NPI: 1326294117
Entity type: Organization (Type 2)
Issued: Aug 12, 2008
Last updated: Jul 4, 2025
Status: Active

Other names

<unavail>
Providence Medical Group · doing business as
Providence Medical Group Mill Plain · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary Enrollment
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1326294117

Providence Health & Services Oregon's National Provider Identifier is 1326294117, issued on Aug 12, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Vancouver, WA. The record was last updated on Jul 4, 2025.