Active NPI
Richard Derrick Knowles, MD
- Family Medicine Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD195896
- Practice address
- 2101 NE 139TH St Ste 450
Vancouver, WA 98686-2325 - Phone
- (360) 487-4848
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00042903 | WA | |
| Family Medicine Physician | 207Q00000X | MD195896 | OR | Primary |
Addresses
Primary practice location
2101 NE 139TH St Ste 450
Vancouver, WA 98686-2325
Mailing address
PO Box 2077
Portland, OR 97208-2077
Phone (503) 413-3900
Other practice location 1
440 NW Division St
Gresham, OR 97030-5506
Phone (503) 215-9525
Other practice location 2
14508 NE 20th Ave Ste 102
Vancouver, WA 98686-6434
Phone (360) 852-9670
Other practice location 3
406 SE 131st Ave
Suite 101
Vancouver, WA 98683-4004
Phone (360) 253-2800
Other practice location 4
3101 SE 192nd Ave Ste 103
Vancouver, WA 98683-1443
Phone (360) 666-4480
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rknowles1169301@oc.providencedirect.org | ||
| Direct Messaging Address | rknowles1169301@oc.providencedirect.org | ||
| Direct Messaging Address | rknowles1169301@oc.providencedirect.org | ||
| Direct Messaging Address | rknowles1169301@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sea Mar Community Health Centers
Practice addresses (Care Compare)
1400 N Laventure Rd
Mount Vernon, WA 98273-2766
Phone (360) 428-4075
14508 NE 20TH Ave
Vancouver, WA 98686-6434
Phone (360) 852-9070
Hospital & facility affiliations
- Providence Portland Medical Center
- Peacehealth Southwest Medical Cente
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Family Medicine | Current | Accepting new patients |
| Jorge E. Rodriguez M.D. Inc. | Past | Accepting new patients | |
| Fauquier Physician Practices LLC | Family Medicine | Past | Accepting new patients |
| Legacy Salmon Creek Hospital | Past | Accepting new patients |
Locations
1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075
14508 NE 20th Ave
Ste 102
Vancouver, WA 98686
Phone (360) 574-9730
Interoperability endpoints
- rknowles931066@direct.multicare.org
- rknowles1169301@oc.providencedirect.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Federally Qualified Health Center (FQHC)
- Ocean Shores, WA
- NPI 1982768248
Family Medicine
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- Internal Medicine Physician
- Warrenton, VA
- NPI 1770916983
Family Medicine
-
- Specialist
- Los Angeles, CA
- NPI 1699730044
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1225113236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2077",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972082077",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 NE 139TH ST STE 450",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862325",
"telephone_number": "360-487-4848"
}
],
"practiceLocations": [
{
"address_1": "440 NW Division St",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970305506",
"country_code": "US",
"telephone_number": "503-215-9525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14508 NE 20th Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986866434",
"country_code": "US",
"telephone_number": "360-852-9670",
"fax_number": "360-397-2503",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "406 SE 131st Ave",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986834004",
"country_code": "US",
"telephone_number": "360-253-2800",
"fax_number": "360-253-8642",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3101 SE 192nd Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986831443",
"country_code": "US",
"telephone_number": "360-666-4480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOWLES",
"first_name": "RICHARD",
"middle_name": "DERRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00042903",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD195896",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rknowles1169301@oc.providencedirect.org",
"affiliation": "N",
"address_1": "101 NW 12th Ave Ste 107",
"city": "Battle Ground",
"state": "WA",
"country_code": "US",
"postal_code": "986049141",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rknowles1169301@oc.providencedirect.org",
"affiliation": "N",
"address_1": "700 Washington St Ste 105",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986603181",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rknowles1169301@oc.providencedirect.org",
"affiliation": "N",
"address_1": "315 SE Stonemill Dr Ste 102",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986846987",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rknowles1169301@oc.providencedirect.org",
"affiliation": "N",
"address_1": "3101 SE 192nd Ave",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986831442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.