1. Home
  2. Directory
  3. Washington
  4. Deer Park
  5. Clinic Center
  6. NPI Profile

PRIVIA MEDICAL GROUP WASHINGTON, PLLC
NPI 1235944414
Clinic/Center - Rural Health in Deer Park, WA

Active since February 12, 2025
702 S PARK ST, DEER PARK, WA 99006(509) 262-9000(509) 276-3034 Get Directions Write a Review

NPPES record last updated: February 12, 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 1235944414), doing business as Deer Park Urgent Care, is a healthcare organization registered as a rural health in Deer Park, Washington and active in the NPI registry since February 2025. The organization lists Edward Fargis, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1235944414
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRIVIA MEDICAL GROUP WASHINGTON, PLLC
Location Address702 S PARK STDeer Park, WA 99006-7025
Mailing Address55 W Tietan StWalla Walla, WA 99362-4445
Phone(509) 262-9000
Fax(509) 276-3034
Organization SubpartNo
Authorized OfficialEdward FargisGeneral Counsel · (571) 366-8850
Enumeration DateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1235944414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
702 S PARK ST, Deer Park, WA 99006
Open in Google Maps ↗

Other Names 1

Doing Business AsDeer Park Urgent Care

Other Providers at the Same Location NPPES 10

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

CHAD CHRISTIAN BARRETT DC, MD
Family Medicine
702 S PARK ST
DEER PARK, WA 99006
Spokane County (509) 262-9000
STEPHEN M LAUGHLIN PA-C
Physician Assistant
702 S PARK ST
DEER PARK, WA 99006
Spokane County (509) 262-9000
MRS. MEGAN LYNN WOOD MS, CCC-SLP
Speech-Language Pathologist
702 S PARK ST
DEER PARK, WA 99006
Spokane County (509) 276-2005
SAMANTHA BIRRELL OTR/L
Occupational Therapist
702 S PARK ST
DEER PARK, WA 99006
Spokane County (509) 276-2005
AMANDA TURNER MOTR/L
Occupational Therapist
702 S PARK ST
DEER PARK, WA 99006
Spokane County (509) 276-2005
MR. BRYCE CAMERON ELLGEN DPT
Physical Therapist
702 S PARK ST
DEER PARK, WA 99006
Spokane County (509) 276-2005
ANTHONY DEMURI DPT
Physical Therapist
702 S PARK ST
DEER PARK, WA 99006
Spokane County (509) 276-2005
KASEY MOOSMAN
Speech-Language Pathologist
702 S PARK ST
DEER PARK, WA 99006
Spokane County (509) 276-2005

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 1235944414. It was assigned to this organization in the NPPES registry on February 12, 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, 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 Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group Washington, PLLC was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.