Providence Health & Services - Washington
Neurological Surgery in Walla Walla, WA. Organization (NPI-2).
NPI number1760636690
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1760636690
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Health & Services - Washington
- Organization subpart
- Yes
- Enumeration date
- Nov 5, 2008
- Certification date
- May 7, 2025
- Last updated
- May 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | H-050 | WA | Yes |
Other names
- Providence Medical Group Southeast Washington Neurosurgery (Doing Business As)
Practice location
301 W Poplar St Ste 50Walla Walla, WA 99362-2800
Phone 509-522-1030 · Fax 509-526-8402
Mailing address
Po Box 31001-4114Pasadena, CA 91110-4114
Authorized official
Donald W. Anderson
Assistant Secretary Of Enrollments
4253589786
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Other Neurological Surgery Physician providers in Walla Walla, WA
- Perry E Camp, MDNPI 1518962166
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- Guy F Gehling MD PsNPI 1992715932
- Perry E Camp MD PsNPI 1871503805
All 6 Neurological Surgery Physician providers in Walla Walla · All 1,574 providers in Walla Walla
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