Organization · Type 2 NPI

Providence Health & Services - Washington

Family Medicine Physician · Walla Walla, WA

NPI number 1922259738 Active

Practice location

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

Call (509) 526-3333 Map

Fax (509) 526-8402

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Family Medicine Physician Primary 207Q00000XH-050 (WA)
Internal Medicine Physician 207R00000XH-050 (WA)
Orthopaedic Surgery Physician 207X00000XH-050 (WA)
Surgery Physician 208600000XH-050 (WA)
Orthotic Fitter 225000000XNone listed
Physical Therapist 225100000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

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About NPI 1922259738

Providence Health & Services - Washington's National Provider Identifier is 1922259738, issued on Oct 10, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Walla Walla, WA. The record was last updated on Feb 17, 2026.