NPIMap

Organization Active NPI

Providence Health & Services-Oregon

  • Radiologic Technologist
  • Vancouver, WA
National Provider Identifier
1073896551
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
PROVIDENCE HEALTH & SERVICES-OREGON
Practice address
315 SE Stone Mill Dr
Suite 102
Vancouver, WA 98684-6998
Phone
(360) 816-2733
Fax
(360) 816-2710
NPI assigned
Sep 21, 2011
Organization subpart
Yes
Parent organization
PROVIDENCE HEALTH & SERVICES-OREGONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen Dowling
Title
Sys Dir RC Business Operations
Phone
(503) 215-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X WA Primary

Addresses

Primary practice location

315 SE Stone Mill Dr
Suite 102
Vancouver, WA 98684-6998

Mailing address

PO Box 3395
Portland, OR 97208-3395
Phone (503) 215-4323

Other names 1

  • Providence Radiology-Mill Plain Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mary Grant Anp10 organizations share this tax ID, including this one
Part of
Providence Portland Medical Center

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1073896551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3395",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083395",
            "telephone_number": "503-215-4323",
            "fax_number": "503-215-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SE STONE MILL DR",
            "address_2": "SUITE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846998",
            "telephone_number": "360-816-2733",
            "fax_number": "360-816-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES-OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES-OREGON",
        "enumeration_date": "2011-09-21",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "SYS DIR RC BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "503-215-4323"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Radiology-Mill Plain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.