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

Providence Health & Services - Washington

Organization Family Medicine Physician · NPI 1326569682

Providence Health & Services - Washington is a Family Medicine Physician in Walla Walla, Washington. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4

Practice location Address checks out

380 Chase Ave
Walla Walla, WA 99362-2924
Phone: (509) 526-3333
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1326569682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
Other names Providence Medical Group Southeast Washington
NPI enumeratedJune 27, 2017
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing addressPo Box 31001 - 4110, Pasadena, CA 91110-4110

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