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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Active Organization

Family Medicine · WALLA WALLA, WA

Registration Details

NPI Number
1154672947
Provider Type
Organization
NPI Issued
Sep 20, 2012 (13.588065347067 yrs)
Last Updated
May 6, 2025

Practice Information

Address
380 CHASE AVENUE
PMG SE WA RURAL HEALTH CLINIC
WALLA WALLA, WA, 993622924
Browse WA providers · Browse ZIP 99362
Phone
5095263333
Fax
5095268402
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Physician Assistant
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.