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

Providence Health & Services - Washington

Organization Surgery Physician · NPI 1811130156

Providence Health & Services - Washington provides Surgery 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 Suites 50
Walla Walla, WA 99362-2858
Phone: (509) 522-5765
Fax: (509) 522-5789
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence HAC.FS.0000050 (WA)

Record details

NPI number1811130156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Smmc Surgery Dme
NPI enumeratedApril 16, 2009
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing addressPo Box 31001 - 4110, Pasadena, CA 91110-4110

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