# WWC PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477460202
- **Authorized official:** KEVIN MICHELSON (CEO)
- **Authorized official phone:** (509) 525-3720

## Contact information

- **Practice address:** 55 W TIETAN ST, WALLA WALLA, WA 99362-4445
- **Practice address phone:** (509) 525-3720
- **Practice address fax:** (509) 522-1592
- **Mailing address:** 55 W TIETAN ST, WALLA WALLA, WA 99362-4445
- **Mailing address phone:** (509) 525-3720
- **Mailing address fax:** (509) 522-1592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2026
- **Last updated:** 08/26/2026