Privia Medical Group Washington, Pllc
NPI #1780658419 in Walla Walla, Washington
Provider Information
- NPI Number
- 1780658419
- Entity Type
- Organization
- Organization Name
- Privia Medical Group Washington, Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 17, 2006
- Last Updated
- Dec 23, 2025
Practice Location
- Address
- 55 W TIETAN ST
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-4445
- Phone
- (509) 525-3720
Authorized Official
- Name
- MR. KEVIN MICHELSON
- Title
- CEO
- Phone
- (509) 525-3720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center |
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