Providence Health & Services - Washington
Family Medicine Clinic
380 Chase Avenue, Pmg Se Wa, Walla Walla
Washington, 99362-2924
509-526-3333 509-526-8402
Maps & DirectionsProvidence Health & Services - Washington is a Orthotic Fitter Clinic in Walla Walla, Washington. It is situated at 380 Chase Avenue, Pmg Se Wa, Walla Walla and its contact number is 509-526-3333. The authorized person of Providence Health & Services - Washington is Donald W. Anderson Jr.
who is Assistant Secretary Of Enrollments of the clinic and their contact number is 425-358-9786. Primary license number for Providence Health & Services - Washington is H-050 (Family Medicine) in Washington.
Providence Health & Services - Washington Clinic An individual trained in the management of fitting prefabricated orthoses.
Complete Profile:
Providence Health & Services - Washington Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Orthotic Fitter |
| Clinic Address: | 380 Chase Avenue, Pmg Se Wa, Walla Walla,
Washington, 99362-2924 |
| Phone: | 509-526-3333 |
| Fax: | 509-526-8402 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Donald W. Anderson Jr. |
| Position: | Assistant Secretary Of Enrollments |
| Contact Number: | 425-358-9786 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Health & Services - Washington Clinic are as mentioned below.
| NPI Number: | 1922259738 |
| NPI Enumeration Date: | 10 Oct, 2008 |
| NPI Last Update On: | 17 Feb, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services - Washington are as mentioned below.
| Specialization | License Number | State | Status | |
| Family Medicine | H-050 | Washington | Primary | |
| Orthotic Fitter | | | Secondary | |
| Surgery | H-050 | Washington | Secondary | |
| Internal Medicine | H-050 | Washington | Secondary | |
| Physical Therapist | | | Secondary | |
| Clinical | | | Secondary | |
| Orthopaedic Surgery | H-050 | Washington | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 115284 | Other | Washington | L&i State |
| 7028186 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Providence Health & Services - Washington
Po Box 31001-4114,
Pasadena, California |
| Zip: | 91110-4114 |
| Phone Number: | 509-529-8905 |
| Fax Number: | 509-526-8402 |
Patients can reach Providence Health & Services - Washington at
380 Chase Avenue, Pmg Se Wa, Walla Walla, Washington or can
call to book an appointment on 509-526-3333.
Comments/ Reviews:
Patients can read all the reviews posted for Providence Health & Services - Washington below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Providence Health & Services - Washington. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.