Privia Medical Group Washington, PLLC
NPI 1790590974 · Rural Health Clinic/Center · Deer Park, WA
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Privia Medical Group Washington, PLLC is a Rural Health Clinic/Center organization in Deer Park, WA (NPI 1790590974).
Provider details
- NPI number
- 1790590974
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Fargis, General Counsel(571) 366-8850
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- Deer Park Family Care Clinic
Registry dates
- Enumerated
- 2025-02-12
- Last updated
- 2025-02-12
- Certified
- 2025-02-12
Frequently asked questions
- What is Privia Medical Group Washington, PLLC's NPI number?
- Privia Medical Group Washington, PLLC's National Provider Identifier (NPI) is 1790590974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Privia Medical Group Washington, PLLC?
- Privia Medical Group Washington, PLLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Privia Medical Group Washington, PLLC located?
- Privia Medical Group Washington, PLLC's practice location on file with NPPES is 905 E D St, Deer Park, WA 99006-5167.
- What is Privia Medical Group Washington, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Privia Medical Group Washington, PLLC is (509) 276-5005.
- Does Privia Medical Group Washington, PLLC accept Medicare?
- Privia Medical Group Washington, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Privia Medical Group Washington, PLLC?
- The authorized official listed on Privia Medical Group Washington, PLLC's NPPES record is Edward Fargis, General Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Privia Medical Group Washington, PLLC's NPI active?
- Yes — Privia Medical Group Washington, PLLC's NPI (1790590974) is active in the NPPES registry as of the last update on 2025-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.