Providence Health & Services - Washington
Internal Medicine, Gastroenterology in Walla Walla, WA. Organization (NPI-2).
NPI number1326282963
StatusActive
Last updated in NPPESMar 6, 2026
Details
- NPI
- 1326282963
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Health & Services - Washington
- Organization subpart
- No
- Enumeration date
- Apr 27, 2009
- Certification date
- Mar 6, 2026
- Last updated
- Mar 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | HAC.FS00000050 | WA | Yes |
| 207Y00000X | Otolaryngology | HAC.FS.00000050 | WA |
Other names
- Providence Smmc Multi-Specialty Dme (Other Name)
Practice location
301 W Poplar StSuite 210
Walla Walla, WA 99362-2858
Phone 509-522-5825 · Fax 509-529-3512
Mailing address
Po Box 31001 - 4110Pasadena, CA 91110-4110
Phone 509-522-5906 · Fax 509-522-5789
Authorized official
Donald Wayne Anderson
Assistant Secretary Of Enrollments
4253589786
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Other Gastroenterology Physician providers in Walla Walla, WA
- Carl Leroy Bauer, M.D.NPI 1386888790
- Charles Stanley Hames, M.D.NPI 1407823701
- James E Harri, MDNPI 1215043609
- Patrick John Laing, M.DNPI 1609163294
- Leonard Edward Philo, M.D.NPI 1396893699
- Lawrence S Zawatzky, M.D.NPI 1811961832
All 7 Gastroenterology Physician providers in Walla Walla · All 1,574 providers in Walla Walla
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