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

Privia Medical Group Washington, PLLC

Organization Rural Health Clinic/Center · NPI 1790590974

Privia Medical Group Washington, PLLC is a Rural Health Clinic/Center in Deer Park, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

905 E D St
Deer Park, WA 99006-5167
Phone: (509) 276-5005
Fax: (509) 276-7785
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1790590974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Fargis — General Counsel · (571) 366-8850
Other names Deer Park Family Care Clinic
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address55 W Tietan St, Walla Walla, WA 99362-4445

Other providers in Deer Park