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

Providence Health & Services - Washington

Organization Rural Health Clinic/Center · NPI 1891046926

Providence Health & Services - Washington is a Rural Health Clinic/Center in Walla Walla, Washington. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

380 Chase Avenue Pmg SE Wa Rural Health Clinic
Walla Walla, WA 99362-2924
Phone: (509) 526-3333
Fax: (509) 526-8402
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 number1891046926
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Washington
Authorized official Donald Anderson — Assistant Secretary Of Enrollment · (425) 358-9786
Other names Providence Medical Group Southeast Washington Rural Health Clinic
NPI enumeratedSeptember 28, 2012
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 34439, Mailing/Credentialing, Seattle, WA 98124-1439

Other providers in Walla Walla