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WALLA WALLA CLINIC MILTON-FREEWATER
NPI 1063521862
Clinic/Center in Milton Freewater, OR

Active since August 29, 2006CLIA Certified · 2 labs
10 NE 5TH AVE, MILTON FREEWATER, OR 97862(541) 938-3314(541) 938-4449 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walla Walla Clinic Milton-freewater NPPES

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

WALLA WALLA CLINIC MILTON-FREEWATER (NPI 1063521862) is a healthcare organization registered as a clinic/center in Milton Freewater, Oregon and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Kevin Michelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063521862
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWALLA WALLA CLINIC, INC.
Location Address10 NE 5TH AVEMilton Freewater, OR 97862-1702
Mailing Address55 W Tietan StWalla Walla, WA 99362-4445 · (509) 525-3720 · Fax (509) 522-1592
Phone(541) 938-3314
Fax(541) 938-4449
Organization SubpartYes
Authorized OfficialKevin MichelsonCeo · (509) 525-3720
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 18, 2017
✔ NPI 1063521862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
10 NE 5TH AVE, Milton Freewater, OR 97862
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Other Names 1

Doing Business AsWalla Walla Clinic Milton-freewater

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0640256

Walla Walla Clinic · Walla Walla, WA
Active · expires Apr 4, 2028
CLIA Number50D0640256
Laboratory TypeClinic
Certificate Effective DateMay 1, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRyan Cornia
Laboratory Phone(509) 525-3720
Laboratory LocationWalla Walla Clinic55 W Tietan St, Walla Walla, WA 99362
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 50D2180996

Walla Walla Clinic Dermatology · Walla Walla, WA
Active · expires Apr 4, 2028
CLIA Number50D2180996
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid Panther
Laboratory Phone(509) 525-3720
Laboratory LocationWalla Walla Clinic Dermatology19 Southpoint Ln, Walla Walla, WA 99362
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH E SCARBOROUGH NP
Nurse Practitioner (Family)
10 NE 5TH AVE
MILTON, OR 97862
Umatilla County (541) 938-3314
DR. SCOTT T FRY M.D.
Family Medicine
10 NE 5TH AVE
MILTON FREEWATER, OR 97862
Umatilla County (541) 938-3314

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 Walla Walla Clinic, Inc.'s NPI number?

The NPI number for Walla Walla Clinic, Inc. is 1063521862. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Walla Walla Clinic Milton-Freewater.

Where is Walla Walla Clinic, Inc. located?

Walla Walla Clinic, Inc. is located at 10 NE 5th Ave, Milton Freewater, OR 97862. The listed phone number is (541) 938-3314.

What is Walla Walla Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Walla Walla Clinic, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Walla Walla Clinic, Inc. accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Walla Walla Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walla Walla Clinic, Inc. was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.