Organization · Type 2 NPI

Providence Health & Services - Oregon

Family Medicine Physician · Vancouver, WA

NPI number 1669765244 Active

Practice location

3101 SE 192nd Ave, Suite 106
Vancouver, WA 98683-1443

Call (360) 553-7400 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Clinic/Center	261Q00000X	None 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.

10 other providers at this address

Other family medicine physician providers in Vancouver

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NPI record

NPI: 1669765244
Entity type: Organization (Type 2)
Issued: May 16, 2011
Last updated: Jun 30, 2025
Status: Active

Other names

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Providence Medical Group · doing business as
Providence Medical Group Camas · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary Enrollments
(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.

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About NPI 1669765244

Providence Health & Services - Oregon's National Provider Identifier is 1669765244, issued on May 16, 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.