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

Providence Health & Services - Washington

Organization Radiation Oncology Physician · NPI 1982856886

Providence Health & Services - Washington provides Radiation Oncology Physician services in Walla Walla, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008

Practice location Address checks out

401 W Poplar Street Pmg SE Wa Radiation Oncology
Walla Walla, WA 99362-2846
Phone: (509) 522-5700
Fax: (509) 526-8402
Show map & directions

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

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence H-050 (WA)

Record details

NPI number1982856886
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Washington
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group Southeast Washington Radiation Oncology
NPI enumeratedOctober 22, 2008
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 31001-4114 Mailing / Credentialing, Pasadena, CA 91110-4114

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