Providence Health & Services - Washington
NPI 1417191057 · Urology Physician · Walla Walla, WA
Providence Health & Services - Washington is a Urology Physician organization in Walla Walla, WA (NPI 1417191057).
Provider details
- NPI number
- 1417191057
- Entity type
- Organization
- Primary specialty
- Urology 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
Profile Score
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
Mailing address
Other names (DBA / former)
- Other name
- Providence Smmc Urology Dme
Registry dates
- Enumerated
- 2009-04-27
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Providence Health & Services - Washington's NPI number?
- Providence Health & Services - Washington's National Provider Identifier (NPI) is 1417191057, 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 Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health & Services - Washington located?
- Providence Health & Services - Washington's practice location on file with NPPES is 301 W Poplar St, Walla Walla, WA 99362-2858.
- 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) 522-5832.
- 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 (1417191057) is active in the NPPES registry as of the last update on 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.