Providence Medical Group Southeast Washington Neurosurgery – Neurological Surgery Physician, NPI 1760636690
Neurological Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Providence Medical Group Southeast Washington Neurosurgery
PO BOX 34439
MAILING / CREDENTIALING
SEATTLE, WA 981241439
Phone: (509) 529-8905
Fax: (509) 526-8402
Type: Mailing
301, West Poplar Street, Walla Walla, Walla Walla County, Washington, 99362, United States
STE 220
WALLA WALLA, WA 993622800
Phone: (509) 522-1030
Fax: (509) 526-8402
Type: Location
PO BOX 31001-4114
PASADENA, CA 911104114
Phone:
Type: Mailing
301 W POPLAR ST STE 50
WALLA WALLA, WA 993622800
Phone: (509) 522-1030
Fax: (509) 526-8402
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98124)
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