Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas G Wysham, MD

Individual provider Cardiovascular Disease Physician · NPI 1275526360

Douglas G Wysham, MD is a Cardiovascular Disease Physician in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 NE 87th Ave
Vancouver, WA 98664-1913
Phone: (360) 882-3662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence MD00029442 (WA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD00029442 (WA)

Record details

NPI number1275526360
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESNovember 7, 2016

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