| Privia Medical Group Washington, Pllc | |
|
905 E D St Deer Park WA 99006-5167 | |
| (509) 276-5005 | |
| (509) 276-7785 |
| Full Name | Privia Medical Group Washington, Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 905 E D St, Deer Park, Washington |
| Authorized Official Name and Position | Edward Fargis (GENERAL COUNSEL) |
| Authorized Official Contact | 5713668850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group Washington, Pllc 55 W Tietan St Walla Walla WA 99362-4445 Ph: () - | Privia Medical Group Washington, Pllc 905 E D St Deer Park WA 99006-5167 Ph: (509) 276-5005 |
| NPI Number | 1790590974 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790590974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Privia Medical Group Washington, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 S Park St, Deer Park, WA 99006 Phone: 509-262-9000 Fax: 509-276-3034 | |
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