Organization · Type 2 NPI

Providence Health & Services - Washington

Nephrology Physician · Walla Walla, WA

NPI number 1235373879 Active

Practice location

301 W Poplar St, Suite 100
Walla Walla, WA 99362-2858

Call (509) 522-5824 Map

Fax (509) 522-5738

Mailing address

PO Box 31001 - 4110
Pasadena, CA 91110-4110

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300XHAC.FS.00000050 (WA)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

20 other providers at this address

About NPI 1235373879

Providence Health & Services - Washington's National Provider Identifier is 1235373879, issued on Apr 27, 2009. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Walla Walla, WA. The record was last updated on Mar 6, 2026.