PROVIDENCE HEALTH & SERVICES OREGON (NPI# 1326294117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326294117 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES OREGON |
| Other Organization Name | PROVIDENCE MEDICAL GROUP MILL PLAIN |
| Practice Address |
315 Se Stone Mill Dr Suite 102 Vancouver WA 98684-6987 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 3608162700 |
| Practice Fax Number | 3608162710 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | DONALD WAYNE ANDERSON (ASST CORP SECRETARY FOR ENROLLMENTS) |
| Authorized Official Telephone | 4255255392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PROVIDENCE MEDICAL GROUP MILL PLAIN | 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 |
| 1649541020 | Providence Health & Services Oregon | Clinic/Center | 211 Ne Skyline Dr, White Salmon, WA 98672 | 2012-01-18 |
| 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 |
| Street Address |
315 SE STONE MILL DR SUITE 102 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-6987 |
| 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 |
| 1982030656 | Providence Health & Services - Oregon | Clinic/Center | 315 Se Stone Mill Dr, Suite 200, Vancouver, WA 98684-6998 | 2013-09-25 |
| 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 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862019 | Rajpaul Attariwala | Radiology | 1371 W Broadway, Vancouver, BC V6H1G9 | 2017-03-12 |
| 1801239595 | Phillip Adam Setran | Radiology | 4816 Ne Thurston Way Ste 2, Vancouver, WA 98662-6661 | 2013-04-11 |
| 1598993685 | Neha Sinha | Radiology | 700 Ne 87th Ave Ste 170, Vancouver, WA 98664-4896 | 2009-06-26 |
| 1114008737 | Advanced Medical Imaging Center LLC | Radiology | 16821 Se Mcgillivray Blvd, Vancouver, WA 98683-0499 | 2006-10-18 |
| 1770530560 | Open Advanced Mri of Vancouver, LLC | Radiology | 221g Ne 104th Ave, #106, Vancouver, WA 98664-4587 | 2006-05-28 |
| 1376536656 | Janet Mendel-hartvig | Radiology | 505 Ne 87th Ave, Ste Ll50, Vancouver, WA 98664-1989 | 2005-08-23 |
| 1811992670 | Vancouver Radiologists A Professional Corp | Radiology | 4816 N.e. Thurston Way, Suite A, Vancouver, WA 98662 | 2005-06-17 |
| 1154325181 | John Wr Schroeder | Radiology | 4816a Ne Thurston Way, Vancouver, WA 98662 | 2005-06-08 |
| 1154942886 | Radia Imaging Center Holdings LLC | Radiology | 4816 Ne Thurston Way Ste A, Vancouver, WA 98662-6661 | 2020-05-05 |
| 1508132770 | Mckenna Lee Belzer | Radiology | 700 Ne 87th Ave Ste 170, Vancouver, WA 98664-4896 | 2012-03-31 |
| Find all providers in VANCOUVER | ||||
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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.