PRIVIA MEDICAL GROUP WASHINGTON, PLLC
NPI 1225911829
Durable Medical Equipment & Medical Supplies in Deer Park, WA

Active since July 30, 2025
702 S PARK ST STE A, DEER PARK, WA 99006(509) 262-9000(509) 276-3034 Get Directions Write a Review

NPPES record last updated: October 7, 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 1225911829), doing business as Deer Park Urgent Care, is a healthcare organization registered as a durable medical equipment & medical supplies in Deer Park, Washington and active in the NPI registry since July 2025. The organization lists Edward Fargis, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1225911829
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePRIVIA MEDICAL GROUP WASHINGTON, PLLC
Location Address702 S PARK ST STE ADeer Park, WA 99006-7025
Mailing Address55 W Tietan StWalla Walla, WA 99362-4445
Fax(509) 276-3034
Organization SubpartNo
Authorized OfficialEdward FargisGeneral Counsel · (571) 366-8850
Enumeration DateJuly 30, 2025
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
NPI 1225911829 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.
702 S PARK ST STE A, Deer Park, WA 99006

Other Names 1

Doing Business AsDeer Park Urgent Care

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 1225911829. It was assigned to this organization in the NPPES registry on July 30, 2025. The provider is doing business as Deer Park Urgent Care.

Where is Privia Medical Group Washington, PLLC located?

Privia Medical Group Washington, PLLC is located at 702 S Park St Ste A, Deer Park, WA 99006. The listed phone number is (509) 262-9000.

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 October 7, 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.