institution
Privia Medical Group Washington, Pllc
Clinic/Center in Walla Walla, Washington
NPI 1780658419

Privia Medical Group Washington, Pllc is a Clinic/Center based in Walla Walla, WA. Privia Medical Group Washington, Pllc practices in Walla Walla, WA. The NPI Number for Privia Medical Group Washington, Pllc is 1780658419 and holds a License No. (Washington).

The current practice location address for Privia Medical Group Washington, Pllc is 55 W Tietan St, Walla Walla, WA and can be reached out via phone at 509-525-3720 and via fax at 509-522-1592.

Location: 55 W Tietan St, Walla Walla, WA, 99362-4445
institution
Provider Profile Details
NPI Number
1780658419
Provider Name
Privia Medical Group Washington, Pllc
Credential
Provider Entity Type
Organization
Address
55 W Tietan St, Walla Walla, WA, 99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1592
Provider Enumeration Date
02/17/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208199 05 OR
30200 01 WA L&I
7809205 05 WA
institution
Provider Business Practice Location Address Details
Address
55 W Tietan St
City
State
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1592
person
Provider Business Mailing Address Details
Address
55 W Tietan St
City
State
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1592
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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