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

Providence Health & Services - Washington

Organization Radiation Oncology Physician · NPI 1982856886

Providence Health & Services - Washington is a Radiation Oncology Physician in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008

Practice location Address checks out

401 W Poplar Street Pmg SE Wa Radiation Oncology
Walla Walla, WA 99362-2846
Phone: (509) 522-5700
Fax: (509) 526-8402
Show map & directions

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

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence H-050 (WA)

Record details

NPI number1982856886
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Washington
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group Southeast Washington Radiation Oncology
NPI enumeratedOctober 22, 2008
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 31001-4114 Mailing / Credentialing, Pasadena, CA 91110-4114

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