OrganizationActive
Privia Medical Group Washington, PLLC
NPI 1346441979 · Rural Health Clinic/Center · Walla Walla, WA
Provider details
- NPI number
- 1346441979
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Michelson, Ceo(509) 525-3720
- License
- FX00058422 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
55 W Tietan St
Walla Walla, WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 522-1292
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
- Doing business as
- Walla Walla Clinic
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2023-10-06
- Certified
- 2023-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.