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Organization

PRIVIA MEDICAL GROUP WASHINGTON, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD FARGIS (GENERAL COUNSEL)
(571) 366-8850
Entity
Organization

Contact information

Practice address
905 E D ST, DEER PARK, WA 99006-5167
(509) 276-5005
(509) 276-7785
Mailing address
905 E D ST, DEER PARK, WA 99006-5167
(509) 276-5005
(509) 276-7785

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/06/2025
Last updated
11/06/2025
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