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

Providence Health & Services - Washington

Organization Surgery Physician · NPI 1811130156

Providence Health & Services - Washington is a Surgery Physician in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009

Practice location Address checks out

301 W Poplar St Suites 50
Walla Walla, WA 99362-2858
Phone: (509) 522-5765
Fax: (509) 522-5789
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence HAC.FS.0000050 (WA)

Record details

NPI number1811130156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Smmc Surgery Dme
NPI enumeratedApril 16, 2009
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing addressPo Box 31001 - 4110, Pasadena, CA 91110-4110

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