Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Providence Health & Services - Washington

Organization Nephrology Physician · NPI 1235373879

Providence Health & Services - Washington provides Nephrology Physician services in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009

Practice location Address checks out

301 W Poplar St Ste 100
Walla Walla, WA 99362-2858
Phone: (509) 522-5824
Fax: (509) 522-5738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence HAC.FS.00000050 (WA)

Record details

NPI number1235373879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Smmc Nephrology Dme
NPI enumeratedApril 27, 2009
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing addressPo Box 31001 - 4110, Pasadena, CA 91110-4110

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