PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1760636690
Neurological Surgery in Walla Walla, WA

Active since November 05, 2008
301 W POPLAR ST STE 50, WALLA WALLA, WA 99362(509) 522-1030(509) 526-8402 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2025, Feb 10, 2025, Aug 5, 2024 (3 updates tracked since 2024).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1760636690), doing business as Providence Medical Group Southeast Washington Neurosurgery, is a healthcare organization registered as a neurological surgery in Walla Walla, Washington and active in the NPI registry since November 2008. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1760636690
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address301 W POPLAR ST STE 50Walla Walla, WA 99362-2800
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114
Fax(509) 526-8402
Organization SubpartYes
Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateNovember 5, 2008
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
NPI 1760636690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in WA · H-050
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
301 W POPLAR ST STE 50, Walla Walla, WA 99362

Other Names 1

Doing Business AsProvidence Medical Group Southeast Washington Neurosurgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Clinical Neurophysiology)
301 W POPLAR ST STE 50
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 Providence Health & Services - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1760636690. It was assigned to this organization in the NPPES registry on November 5, 2008. The provider is doing business as Providence Medical Group Southeast Washington Neurosurgery.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 301 W Poplar St Ste 50, Walla Walla, WA 99362. The listed phone number is (509) 522-1030.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

What insurance does Providence Health & Services - Washington accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services - Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.