Providence Health & Services - Washington

NPI #1922259738 in Walla Walla, Washington

Provider Information

NPI Number: 1922259738
Entity Type: Organization
Organization Name: Providence Health & Services - Washington
Primary Specialty: Family Medicine
Enumeration Date: Oct 10, 2008
Last Updated: May 6, 2025

Practice Location

Address: 380 CHASE AVENUE
Address 2: PMG SE WA
City: Walla Walla
State: Washington
ZIP Code: 99362-2924
Phone: (509) 526-3333

Authorized Official

Name: DONALD W. ANDERSON JR.
Title: ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Internal Medicine	207R00000X
Orthopaedic Surgery	207X00000X
Surgery	208600000X
Orthotic Fitter	225000000X
Physical Therapist	225100000X
Family Medicine	207Q00000X	Primary

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