Providence Health & Services - Washington
NPI #1891046926 in Walla Walla, Washington
Provider Information
- NPI Number
- 1891046926
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Washington
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE HEALTH & SERVICES - WASHINGTON
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 28, 2012
- Last Updated
- May 6, 2025
Practice Location
- Address
- 380 CHASE AVENUE
- Address 2
- PMG SE WA RURAL HEALTH CLINIC
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2924
- Phone
- (509) 526-3333
Authorized Official
- Name
- MR. DONALD WAYNE ANDERSON
- Title
- ASSISTANT SECRETARY OF ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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