Active NPI
Amanda M. Canario, DO
- Pediatrics Physician
- Vancouver, WA
National Provider Identifier
1720615875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO.OP.70068551
- Practice address
- 700 NE 87TH Ave
Vancouver, WA 98664-4896 - Phone
- (360) 882-2778
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO.OP.70068551 | WA | Primary |
| Pediatrics Physician | 208000000X | DO215184 | OR |
Addresses
Primary practice location
700 NE 87TH Ave
Vancouver, WA 98664-4896
Mailing address
700 NE 87TH Ave
Vancouver, WA 98664-4896
Phone (360) 882-2778
Other names 1
- Dr. Amanda Marie Wolf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Rocky Vista University College of Osteopathic Med, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 NE 87TH Ave
Vancouver, WA 98664-1913
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO215184 | OR | MD | Pediatrics Physician |
| DO.OP.70068551 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group | Current | Accepting new patients | |
| Peacehealth Medical Group | Pediatrics | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
Interoperability endpoints
- awolf622866@direct.peacehealth.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Birthing Clinic/Center
- Springfield, OR
- NPI 1881860856
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1720615875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986644896",
"telephone_number": "360-882-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986644896",
"telephone_number": "360-882-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANARIO",
"first_name": "AMANDA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "DO.OP.70068551",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "DO215184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "WOLF",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 26, 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.