BLUE MOUNTAIN MEDICAL GOUP, PLLC
NPI 1154306884
Clinic/Center in Walla Walla, WA

Active since December 15, 2005
1111 S 2ND AVE, WALLA WALLA, WA 99362(509) 522-0100(509) 527-8010 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Blue Mountain Medical Goup, Pllc NPPES

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

BLUE MOUNTAIN MEDICAL GOUP, PLLC (NPI 1154306884) is a healthcare organization registered as a clinic/center in Walla Walla, Washington and active in the NPI registry since December 2005. The organization lists Kathy A. Strickler, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1154306884
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBLUE MOUNTAIN MEDICAL GOUP, PLLC
Location Address1111 S 2ND AVEWalla Walla, WA 99362-4118
Mailing Address1111 S 2nd AveWalla Walla, WA 99362-4118 · (509) 522-0100 · Fax (509) 527-8010
Fax(509) 527-8010
Organization SubpartNo
Authorized OfficialKathy A. StricklerDirector Of Operations · (509) 522-0100
Enumeration DateDecember 15, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1154306884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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).
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
1111 S 2ND AVE, Walla Walla, WA 99362

Other Identifiers 4

Medicaid00615OR
Medicaid287665OR
Medicaid7103260WA
Medicaid71121170WA

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
1111 S 2ND AVE
WALLA WALLA, WA 99362
Pharmacy (Community/Retail Pharmacy)
1111 S 2ND AVE
WALLA WALLA, WA 99362
Nurse Practitioner (Pediatrics)
1111 S 2ND AVE
WALLA WALLA, WA 99362
Family Medicine
1111 S 2ND AVE
WALLA WALLA, WA 99362
Pediatrics
1111 S 2ND AVE
WALLA WALLA, WA 99362
Nurse Practitioner (Family)
1111 S 2ND AVE
WALLA WALLA, WA 99362
Nurse Practitioner (Obstetrics & Gynecology)
1111 S 2ND AVE
WALLA WALLA, WA 99362
Registered Nurse (Case Management)
1111 S 2ND AVE
WALLA WALLA, WA 99362

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 Blue Mountain Medical Goup, PLLC's NPI number?

The NPI number for Blue Mountain Medical Goup, PLLC is 1154306884. It was assigned to this organization in the NPPES registry on December 15, 2005.

Where is Blue Mountain Medical Goup, PLLC located?

Blue Mountain Medical Goup, PLLC is located at 1111 S 2nd Ave, Walla Walla, WA 99362. The listed phone number is (509) 522-0100.

What is Blue Mountain Medical Goup, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Mountain Medical Goup, PLLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.