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Providence Health & Services - Washington
Diagnostic Radiology Physician in Walla Walla, Washington
NPI 1306097126

Providence Health & Services - Washington is a Diagnostic Radiology Physician based in Seattle, WA and is specialized in Diagnostic Radiology. Providence Health & Services - Washington practices in Walla Walla, WA. The NPI Number for Providence Health & Services - Washington is 1306097126 and holds a License No. (Washington).

The current practice location address for Providence Health & Services - Washington is 401 W Poplar Street, Walla Walla, WA and can be reached out via phone at 509-522-5850 and via fax at 509-526-8402.

Location: 401 W Poplar Street, Walla Walla, WA, 98124-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306097126
Provider Name
Providence Health & Services - Washington
Credential
Provider Entity Type
Organization
Address
401 W Poplar Street, Walla Walla, WA, 98124-1439
Phone Number
509-522-5850
Fax Number
509-526-8402
Provider Enumeration Date
10/10/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7138118 05 WA
191431900 01 WA L&I FEDERAL
222605 01 WA L&I STATE
institution
Provider Business Practice Location Address Details
Address
401 W Poplar Street
City
Walla Walla
State
Washington
Zip
99362-2846
Phone Number
509-522-5850
Fax Number
509-526-8402
person
Provider Business Mailing Address Details
Address
401 W Poplar Street
City
Walla Walla
State
Washington
Zip
99362-2846
Phone Number
509-522-5850
Fax Number
509-526-8402
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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