Privia Medical Group Washington, Pllc
NPI #1790590974 in Deer Park, Washington
Provider Information
- NPI Number
- 1790590974
- Entity Type
- Organization
- Organization Name
- Privia Medical Group Washington, Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Feb 12, 2025
- Last Updated
- Feb 12, 2025
Practice Location
- Address
- 905 E D ST
- City
- Deer Park
- State
- Washington
- ZIP Code
- 99006-5167
- Phone
- (509) 276-5005
Authorized Official
- Name
- EDWARD FARGIS
- Title
- GENERAL COUNSEL
- Phone
- (571) 366-8850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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