PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1922259738
Family Medicine in Walla Walla, WA

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 10, 2008

380 CHASE AVENUE, PMG SE WA, WALLA WALLA, WA 99362(509) 526-3333(509) 526-8402 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2025, Feb 10, 2025, Sep 2, 2022 and 1 more (4 updates tracked since 2019).

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About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1922259738), doing business as Providence Medical Group Southeast Washington, is a healthcare organization registered as a family medicine in Walla Walla, Washington and active in the NPI registry since October 2008. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1922259738

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON

Location Address380 CHASE AVENUE, PMG SE WAWalla Walla, WA 99362-2924

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (509) 529-8905 · Fax (509) 526-8402

Phone(509) 526-3333

Fax(509) 526-8402

Organization SubpartNo

Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateOctober 10, 2008

Last NPPES UpdateFebruary 17, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2026

✔ NPI 1922259738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · H-050

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedInternal MedicineTaxonomy 207R00000X · License H-050 (WA)

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License H-050 (WA)

Also ListedSurgeryTaxonomy 208600000X · License H-050 (WA)

Also ListedOrthotic FitterTaxonomy 225000000X

Also ListedPhysical TherapistTaxonomy 225100000X

380 CHASE AVENUE, Walla Walla, WA 99362

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Other Names 1

Doing Business AsProvidence Medical Group Southeast Washington

Other Identifiers 2

Other115284WA · L&i State

Medicaid7028186WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Family Medicine

380 CHASE AVENUE, PMG SE WA RURAL HEALTH CLINIC
WALLA WALLA, WA 99362

Walla Walla County (509) 526-3333

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Clinic/Center (Rural Health)

380 CHASE AVENUE, PMG SE WA RURAL HEALTH CLINIC
WALLA WALLA, WA 99362

Walla Walla County (509) 526-3333

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 1922259738. It was assigned to this organization in the NPPES registry on October 10, 2008. The provider is doing business as Providence Medical Group Southeast Washington.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 380 Chase Avenue Pmg SE Wa, Walla Walla, WA 99362. The listed phone number is (509) 526-3333.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.