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

Privia Medical Group Washington, PLLC

Organization Family Medicine Physician · NPI 1780658419

Privia Medical Group Washington, PLLC is a Family Medicine Physician in Walla Walla, Washington. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55 W Tietan St
Walla Walla, WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 522-1592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1780658419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Michelson — Ceo · (509) 525-3720
Other names Walla Walla Clinic (Professional)
NPI enumeratedFebruary 17, 2006
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address55 W Tietan St, Walla Walla, WA 99362-4445

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