Privia Medical Group Washington, Pllc
NPI #1346441979 in Walla Walla, Washington
Provider Information
- NPI Number
- 1346441979
- Entity Type
- Organization
- Organization Name
- Privia Medical Group Washington, Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- May 30, 2007
- Last Updated
- Oct 6, 2023
Practice Location
- Address
- 55 W TIETAN ST
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-4445
- Phone
- (509) 525-3720
Authorized Official
- Name
- KEVIN J MICHELSON
- Title
- CEO
- Phone
- (509) 525-3720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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| Sunnyside Community Hospital Association | |
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