OrganizationActive
Providence Health & Services - Washington
NPI 1326282963 · Gastroenterology Physician · Walla Walla, WA
Provider details
- NPI number
- 1326282963
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
- License
- HAC.FS.00000050 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
301 W Poplar St
Suite 210
Walla Walla, WA 99362-2858
Phone: (509) 522-5825
Fax: (509) 529-3512
Street-level locationGet directions
Mailing address
Po Box 31001 - 4110
Pasadena, CA 91110-4110
Other names (DBA / former)
- Other name
- Providence Smmc Multi-Specialty Dme
Registry dates
- Enumerated
- 2009-04-27
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.