Organization · Type 2 NPI

Providence Health & Services - Washington

Rural Health Clinic/Center · Walla Walla, WA

NPI number 1891046926 Active

Practice location

380 Chase Avenue, Pmg SE Wa Rural Health Clinic
Walla Walla, WA 99362-2924

Fax (509) 526-8402

Mailing address

PO Box 34439, Mailing/credentialing
Seattle, WA 98124-1439

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1891046926

Providence Health & Services - Washington's National Provider Identifier is 1891046926, issued on Sep 28, 2012. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Walla Walla, WA. The record was last updated on May 6, 2025.