Individual provider Active NPI

Olga Victorovna Demina, DO

  • Cardiovascular Disease Physician
  • Vancouver, WA
National Provider Identifier
1376819367
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OP60834432 Issued in WA
Practice address
200 NE Mother Joseph PL Ste 400
Vancouver, WA 98664
Phone
(360) 514-4444
NPI assigned
Mar 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036136318 IL
Cardiovascular Disease Physician 207RC0000X DO226891 OR
Cardiovascular Disease Physician 207RC0000X OP60834432 WA Primary
Cardiovascular Disease Physician 207RC0000X MED-PHYS-LIC-166226 MT

Addresses

Primary practice location

200 NE Mother Joseph PL Ste 400
Vancouver, WA 98664

Mailing address

1717 W Congress Pkwy
Chicago, IL 60612-3809

Other practice location 1

1300 28th St S Fl 2
Great Falls, MT 59405-5296
Phone (406) 455-4320

Other practice location 2

1717 West Congress Pkwy
Kellogg Building Floor 3
Chicago, IL 60612
Phone (312) 942-8771

Other practice location 3

1040 NW 22nd Ave Ste 660
Portland, OR 97210-3083
Phone (503) 413-7162

Other practice location 4

500 W Broadway St Ste 320
Missoula, MT 59802-4008
Phone (406) 329-5615

Other practice location 5

1330 Rockefeller Ave Ste 310
Everett, WA 98201-1677
Phone (425) 316-5490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address odemina1761740@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NH, OR, MT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180906003101 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264747054 Reassigns benefits to 2 organizations
I20241226000630 NH Practitioner - Cardiovascular Disease (Cardiology) 2264747054 Reassigns benefits to 1 organization
I20251103004023 OR Practitioner - Cardiovascular Disease (Cardiology) 2264747054 Reassigns benefits to 3 organizations
I20260120000714 MT Practitioner - Cardiovascular Disease (Cardiology) 2264747054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

1040 NW 22ND Ave
Suite 660
Portland, OR 97210-3083
Phone (503) 413-7162

1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074

1300 28TH St S
Suite 2
Great Falls, MT 59405-5296
Phone (406) 455-5000

14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000

19250 SW 65TH Ave
Tualatin, OR 97062-7452
Phone (503) 413-7162

2875 NE Stucki Ave
Hillsboro, OR 97124-5806
Phone (800) 813-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
166226MTMDCardiovascular Disease Physician
DO226891ORMDCardiovascular Disease Physician
OP60834432WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince Jan 15, 2026 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 3, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Oct 30, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jan 8, 2026 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 8, 2026 Accepting new patients
Catholic Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Oct 20, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Legacy Salmon Creek Hospital Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jan 8, 2026 Accepting new patients
Catholic Medical Center Cardiovascular Disease CurrentSince Dec 2, 2024 Accepting new patients
Providence Health & Services- Washington CurrentSince Aug 15, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Aug 15, 2021 Accepting new patients
Manor Care of Salmon Creek Wa, Association CurrentSince Oct 20, 2025 Accepting new patients
Rush University Medical Group Past Accepting new patients
Remington Emergency Physicians PLLC Past Accepting new patients

Locations

1300 28th St S
Ste 2
Great Falls, MT 59405
Phone (406) 731-2362

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1300 28th St S
Ste 4
Great Falls, MT 59405
Phone (406) 455-4300

1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

19250 SW 65th Ave
Tualatin, OR 97062
Phone (503) 691-6582

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1330 Rockefeller Ave
Ste 310
Everett, WA 98201
Phone (425) 261-4925

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

200 NE Mother Joseph Pl
Ste 400
Vancouver, WA 98664
Phone (360) 256-2640

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

Interoperability endpoints

  • Direct secure messaging: odemina1761740@wm.providencedirect.org
  • Direct secure messaging: odemina390682@direct.peacehealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1332547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1376819367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W CONGRESS PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MOTHER JOSEPH PL STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-514-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 28th St S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055296",
            "country_code": "US",
            "telephone_number": "406-455-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 West Congress Pkwy",
            "address_2": "Kellogg Building Floor 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "312-942-8771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 NW 22nd Ave Ste 660",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103083",
            "country_code": "US",
            "telephone_number": "503-413-7162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Broadway St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024008",
            "country_code": "US",
            "telephone_number": "406-329-5615",
            "fax_number": "406-329-5606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Rockefeller Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011677",
            "country_code": "US",
            "telephone_number": "425-316-5490",
            "fax_number": "425-259-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMINA",
        "first_name": "OLGA",
        "middle_name": "VICTOROVNA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-24",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036136318",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "DO226891",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "OP60834432",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MT",
            "license": "MED-PHYS-LIC-166226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "odemina1761740@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1330 Rockefeller Ave Ste 310",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.