Active NPI
Donovan Bahall
- Student in an Organized Health Care Education/Training Program
- Vancouver, WA
National Provider Identifier
1699685438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Elson S. Floyd College of Medicine 805 Broadway Street
Suite 315
Vancouver, WA 98660 - Phone
- (360) 583-3675
- NPI assigned
- Sep 11, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | Primary |
Addresses
Primary practice location
Elson S. Floyd College of Medicine 805 Broadway Street
Suite 315
Vancouver, WA 98660
Mailing address
Elson S. Floyd College of Medicine 805 Broadway Street
Suite 315
Vancouver, WA 98660
Phone (360) 583-3675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1699685438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ELSON S. FLOYD COLLEGE OF MEDICINE 805 BROADWAY STREET",
"address_2": "SUITE 315",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98660",
"telephone_number": "360-583-3675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELSON S. FLOYD COLLEGE OF MEDICINE 805 BROADWAY STREET",
"address_2": "SUITE 315",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98660",
"telephone_number": "360-583-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHALL",
"first_name": "DONOVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.