Organization · Type 2 NPI

Providence Health and Services Oregon

Family Medicine Physician · Vancouver, WA

NPI number 1366748550 Active

Practice location

315 SE Stonemill Dr Ste 220
Vancouver, WA 98684-6987

Call (360) 687-6650 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Other practice locations

  • 101 NW 12th Avenue, Suite 107, Battle Ground, WA 98604-9141 · (360) 666-8418

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Clinic/Center 261Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1366748550

Providence Health and Services Oregon's National Provider Identifier is 1366748550, issued on Feb 4, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Vancouver, WA. The record was last updated on Jun 30, 2025.