OrganizationActive
Walla Walla Clinic, Inc.
NPI 1063521862 · Clinic/Center · Milton Freewater, OR
Walla Walla Clinic, Inc. is a Clinic/Center organization in Milton Freewater, OR (NPI 1063521862).
Provider details
- NPI number
- 1063521862
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Walla Walla Clinic, Inc.
- Organization subpart
- Yes
- Authorized official
- Kevin Michelson, Ceo(509) 525-3720
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10 Ne 5th Ave
Milton Freewater, OR 97862-1702
Phone: (541) 938-3314
Fax: (541) 938-4449
Street-level locationGet directions
Mailing address
55 W Tietan St
Walla Walla, WA 99362-4445
Other names (DBA / former)
- Doing business as
- Walla Walla Clinic Milton-Freewater
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2017-12-18
Frequently asked questions
- What is Walla Walla Clinic, Inc.'s NPI number?
- Walla Walla Clinic, Inc.'s National Provider Identifier (NPI) is 1063521862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walla Walla Clinic, Inc.?
- Walla Walla Clinic, Inc. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Walla Walla Clinic, Inc. located?
- Walla Walla Clinic, Inc.'s practice location on file with NPPES is 10 Ne 5th Ave, Milton Freewater, OR 97862-1702.
- What is Walla Walla Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Walla Walla Clinic, Inc. is (541) 938-3314.
- Who is the authorized official for Walla Walla Clinic, Inc.?
- The authorized official listed on Walla Walla Clinic, Inc.'s NPPES record is Kevin Michelson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walla Walla Clinic, Inc.'s NPI active?
- Yes — Walla Walla Clinic, Inc.'s NPI (1063521862) is active in the NPPES registry as of the last update on 2017-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.