Providence Health & Services - Washington

Family Medicine · Walla Walla, WA

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At a glance

380 Chase Avenue, Walla Walla, WA 99362-2924

NPPES record updated May 6, 2025. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

380 Chase Avenue Pmg Se Wa Rural Health Clinic
Walla Walla, WA 99362-2924
Professional details: NPI, taxonomy & registry record
NPI1154672947
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Registry details

Primary taxonomy
Family Medicine
Taxonomy code
207Q00000X
Enumeration date
Sep 20, 2012
Record updated
May 6, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Family Medicine

207Q00000X · Primary

Internal Medicine

207R00000X

Physician Assistant

363A00000X

Nurse Practitioner

363L00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

380 Chase Avenue
Pmg Se Wa Rural Health Clinic
Walla Walla, WA 99362-2924
Phone
(509) 526-3333
Fax
(509) 526-8402
Mailing address
PO BOX 34439
PMG SE WA RURAL HEALTH CLINIC
SEATTLE, WA 981241439
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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