Providence Health & Services - Washington
NPI 1154672947 · Family Medicine Physician · Walla Walla, WA
Providence Health & Services - Washington is a Family Medicine Physician organization in Walla Walla, WA (NPI 1154672947).
Provider details
- NPI number
- 1154672947
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services Washington
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Medical Group Southeast Washington Rural Health Clinic
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Providence Health & Services - Washington's NPI number?
- Providence Health & Services - Washington's National Provider Identifier (NPI) is 1154672947, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Services - Washington?
- Providence Health & Services - Washington is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health & Services - Washington located?
- Providence Health & Services - Washington's practice location on file with NPPES is 380 Chase Avenue, Walla Walla, WA 99362-2924.
- What is Providence Health & Services - Washington's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Services - Washington is (509) 526-3333.
- Who is the authorized official for Providence Health & Services - Washington?
- The authorized official listed on Providence Health & Services - Washington's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health & Services - Washington's NPI active?
- Yes — Providence Health & Services - Washington's NPI (1154672947) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.