WALLA WALLA CLINIC
NPI 1467715847
Nurse Practitioner - Family in Walla Walla, WA

Active since June 20, 2012
55 W TIETAN ST, WALLA WALLA, WA 99362(509) 525-3720(509) 522-1593 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Family

About WALLA WALLA CLINIC

This page provides the complete NPI Profile along with additional information for Walla Walla Clinic, a provider established in Walla Walla, Washington operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1467715847 assigned on June 2012. The practitioner's primary taxonomy code is 363LF0000X with license number AP60297383 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. Walla Walla Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Walla Walla Clinic. The authorized official of this NPI record is Kevin J Michelson (Ceo)

NPI
1467715847 Verify this NPI
Provider Legal Name
PRIVIA MEDICAL GROUP WASHINGTON, PLLC
Other Organization Name
WALLA WALLA CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
55 W TIETAN ST WALLA WALLA, WA 99362
Location Phone
(509) 525-3720
Location Fax
(509) 522-1593
Mailing Address
55 W TIETAN ST WALLA WALLA, WA 99362
Mailing Phone
(509) 525-3720
Mailing Fax
(509) 522-1593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2012
Last Update Date
10-06-2023
Code Navigator

A nurse practitioner (NP) like Walla Walla Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP60297383
License State
WA

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN J MICHELSON

Authorized Official Title
CEO
Authorized Official Phone
(509) 525-3720

Reviews for WALLA WALLA CLINIC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine (Gastroenterology)
55 W TIETAN ST
WALLA WALLA, WA 99362
Radiology (Diagnostic Radiology)
55 W TIETAN ST
WALLA WALLA, WA 99362
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Orthopaedic Surgery
55 W TIETAN ST
WALLA WALLA, WA 99362
Dermatology
55 W TIETAN ST
WALLA WALLA, WA 99362
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Physician Assistant
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Internal Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Urology
55 W TIETAN ST
WALLA WALLA, WA 99362
Nurse Practitioner (Adult Health)
55 W TIETAN ST
WALLA WALLA, WA 99362
Podiatrist
55 W TIETAN ST
WALLA WALLA, WA 99362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467715847, enumerated as an "organization" on June 20, 2012.

The provider is located at 55 W TIETAN ST WALLA WALLA, WA 99362 and the phone number is (509) 525-3720.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.