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Providence Health & Services - Washington

Family Medicine Physician in Walla Walla, WA · enumerated 2012 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154672947

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services - Washington
Other name <Unavail>
Parent organization Providence Health & Services Washington
Practice address 380 Chase Avenue, Pmg Se Wa Rural Health Clinic, Walla Walla, WA, 99362
Fax (509) 526-8402
Enumeration date Sep 20, 2012
Last updated in NPPES May 6, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary of Enrollments

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-06. Verify at npiregistry.cms.hhs.gov.
Where is Providence Health & Services - Washington located?
The practice location on file with NPPES is in Walla Walla, WA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-06.