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

Providence Health & Services - Washington

Organization Clinical Social Worker · NPI 1922259738

Providence Health & Services - Washington is a Clinical Social Worker in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
Specialties on file
7
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Practice location Address checks out

380 Chase Avenue Pmg SE Wa
Walla Walla, WA 99362-2924
Phone: (509) 526-3333
Fax: (509) 526-8402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence H-050 (WA)
Clinical Social Worker Taxonomy 1041C0700X
Internal Medicine Physician Taxonomy 207R00000X · Licence H-050 (WA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence H-050 (WA)
Surgery Physician Taxonomy 208600000X · Licence H-050 (WA)
Orthotic Fitter Taxonomy 225000000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1922259738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group Southeast Washington; Providence Medical Group Southeast Washington
NPI enumeratedOctober 10, 2008
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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