Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Anton Fackenthall

Organization Family Medicine Physician · NPI 1659552057

John Anton Fackenthall is a Family Medicine Physician in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

1312 E Isaacs Ave
Walla Walla, WA 99362-2152
Phone: (509) 525-4100
Fax: (509) 529-7033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OP00000703 (WA)

Record details

NPI number1659552057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Fackenthall — Physician/Owner · (509) 525-4100
NPI enumeratedNovember 14, 2007
Last updated in NPPESJanuary 3, 2013
Mailing address1312 E Isaacs Ave, Walla Walla, WA 99362-2152

Other providers in Walla Walla