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Providence Health & Services - Oregon

Physical Therapist in Vancouver, WA · enumerated 2011 · authorized official Donald Anderson, Assistant Secretary Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104109677

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services - Oregon
Other name <Unavail>
Parent organization Providence Health & Services - Oregon
Practice address 3101 Se 192nd Ave, Suite 104, Vancouver, WA, 98683
Fax (360) 553-7485
Enumeration date Sep 21, 2011
Last updated in NPPES May 14, 2025

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary Enrollments

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-14. Verify at npiregistry.cms.hhs.gov.
Where is Providence Health & Services - Oregon located?
The practice location on file with NPPES is in Vancouver, WA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-14.