Providence Health & Services - Washington
NPI #1306097126 in Walla Walla, Washington
Provider Information
- NPI Number
- 1306097126
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Washington
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE HEALTH & SERVICES - WASHINGTON
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Oct 10, 2008
- Last Updated
- May 6, 2025
Practice Location
- Address
- 401 W POPLAR STREET
- Address 2
- PMG SE WA IMAGING
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2846
- Phone
- (509) 522-5850
Authorized Official
- Name
- DONALD W. ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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