Individual provider Active NPI

Richard Derrick Knowles, MD

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1225113236
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD195896 Issued in OR
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000227 WA Practitioner - Family PracticePractitioner - General Practice 8820062656 Reassigns benefits to 1 organization

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 CentersGroup PAC ID 7315831161, shared by 37 NPIs, 235 clinicians

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 Hospital, Portland, OR, CCN 380061
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Family Medicine CurrentSince Nov 17, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Nov 17, 2025 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

  • Direct secure messaging: rknowles931066@direct.multicare.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.