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Providence Health & Services - Oregon

Family Medicine Physician in Battle Ground, WA · enumerated 2011 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

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

National Provider Identifier

1194013144

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services - Oregon
Other name <Unavail>
Practice address 101 Nw 12th Ave, Suite 107, Battle Ground, WA, 98604
Fax (360) 666-4485
Enumeration date Jul 12, 2011
Last updated in NPPES Jun 20, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary of Enrollments

Other identifiers

Identifier Type State Issuer
500639583 Medicaid OR -

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

What is the NPI number for Providence Health & Services - Oregon?
The NPI for Providence Health & Services - Oregon is 1194013144, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Health & Services - Oregon?
NPPES lists Donald Anderson (Assistant Secretary of Enrollments) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-20.