1. Home
  2. Directory
  3. Washington
  4. Deer Park
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

PRIVIA MEDICAL GROUP WASHINGTON, PLLC
NPI 1124998943
Durable Medical Equipment & Medical Supplies in Deer Park, WA

Active since November 06, 2025
905 E D ST, DEER PARK, WA 99006(509) 276-5005(509) 276-7785 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Privia Medical Group Washington, Pllc NPPES

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

PRIVIA MEDICAL GROUP WASHINGTON, PLLC (NPI 1124998943) is a healthcare organization registered as a durable medical equipment & medical supplies in Deer Park, Washington and active in the NPI registry since November 2025. The organization lists Edward Fargis, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1124998943
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePRIVIA MEDICAL GROUP WASHINGTON, PLLC
Location Address905 E D STDeer Park, WA 99006-5167
Mailing Address905 E D StDeer Park, WA 99006-5167 · (509) 276-5005 · Fax (509) 276-7785
Phone(509) 276-5005
Fax(509) 276-7785
Organization SubpartNo
Authorized OfficialEdward FargisGeneral Counsel · (571) 366-8850
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1124998943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
905 E D ST, Deer Park, WA 99006
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

UNIVERSAL ULTRASOUND DIAGNOSTIC & VEIN TREATMENT CENTER
Clinic/Center (Radiology)
905 E D ST
DEER PARK, WA 99006
Spokane County (800) 571-0139
KENDAHL ANN LUDIKER PA
Physician Assistant
905 E D ST
DEER PARK, WA 99006
Spokane County (509) 276-5005
MRS. SELINA MARIE ROSS ARNP
Nurse Practitioner (Family)
905 E D ST
DEER PARK, WA 99006
Spokane County (509) 276-5005
DEER PARK FAMILY CARE CLINIC PS
Family Medicine
905 E D ST
DEER PARK, WA 99006
Spokane County (509) 276-5005
PRIVIA MEDICAL GROUP WASHINGTON, PLLC
Clinic/Center (Rural Health)
905 E D ST
DEER PARK, WA 99006
Spokane County (509) 276-5005
MS. AMANDA REED PROCTOR
Nurse Practitioner
905 E D ST
DEER PARK, WA 99006
Spokane County (509) 276-5005
MS. STEPHANIE DAWN DOUD ARNP
Nurse Practitioner (Primary Care)
905 E D ST
DEER PARK, WA 99006
Spokane County (509) 276-5005
TAYLOR J BROUGHTON PA-C
Physician Assistant
905 E D ST
DEER PARK, WA 99006
Spokane County (509) 276-5005

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 Privia Medical Group Washington, PLLC's NPI number?

The NPI number for Privia Medical Group Washington, PLLC is 1124998943. It was assigned to this organization in the NPPES registry on November 6, 2025.

Where is Privia Medical Group Washington, PLLC located?

Privia Medical Group Washington, PLLC is located at 905 E D St, Deer Park, WA 99006. The listed phone number is (509) 276-5005.

What is Privia Medical Group Washington, PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group Washington, PLLC was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.