ROBERT QUACKENBUSH MD PLLC
NPI 1043404163
Specialist in Walla Walla, WA

Active since August 31, 2007
40L W POPLAR ST, WALLA WALLA, WA 99362(509) 525-2220 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert Quackenbush Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT QUACKENBUSH MD PLLC (NPI 1043404163) is a healthcare organization registered as a specialist in Walla Walla, Washington and active in the NPI registry since August 2007. The organization lists Robert C Quackenbush, Md, as its authorized official.

NPPES Registry Identity

NPI1043404163
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameROBERT QUACKENBUSH MD PLLC
Location Address40L W POPLAR STWalla Walla, WA 99362
Mailing AddressPo Box 2102Walla Walla, WA 99362-0102 · (509) 525-2220 · Fax (509) 525-4878
Organization SubpartNo
Authorized OfficialRobert C QuackenbushMd · (509) 525-2220
Enumeration DateAugust 31, 2007
Last NPPES UpdateJanuary 28, 2008
NPI 1043404163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MD00039975
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
40L W POPLAR ST, Walla Walla, WA 99362

Other Identifiers 4

OtherDA4111WA · Rrmc
Medicare PINGAB39429WA
Medicare UPING96369
Medicare PINR121093OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Quackenbush MD PLLC's NPI number?

The NPI number for Robert Quackenbush MD PLLC is 1043404163. It was assigned to this organization in the NPPES registry on August 31, 2007.

Where is Robert Quackenbush MD PLLC located?

Robert Quackenbush MD PLLC is located at 40L W Poplar St, Walla Walla, WA 99362. The listed phone number is (509) 525-2220.

What is Robert Quackenbush MD PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert Quackenbush MD PLLC was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.