NPI 1376819367 · live from the CMS NPI Registry
Olga Victorovna Demina, DO
Internal Medicine, Cardiovascular Disease in Vancouver, WA. National Provider Identifier 1376819367, active.
NPI record
| NPI | 1376819367 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664 |
| Practice phone | 360-514-4444 |
| Mailing address | 1717 W Congress Pkwy, Chicago, IL 60612 |
| Enumerated | March 24, 2012 |
| Last updated | July 16, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 036136318 (IL) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | DO226891 (OR) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | OP60834432 (WA) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | MED-PHYS-LIC-166226 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.