Organization
BLUE MOUNTAIN MEDICAL GOUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY A. STRICKLER (DIRECTOR OF OPERATIONS)
(509) 522-0100
Entity
Organization
Contact information
Practice address
1111 S 2ND AVE, WALLA WALLA, WA 99362-4118
(509) 522-0100
(509) 527-8010
Mailing address
1111 S 2ND AVE, WALLA WALLA, WA 99362-4118
(509) 522-0100
(509) 527-8010
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00615
—
OR
05
—
287665
—
OR
05
—
7103260
—
WA
05
—
71121170
—
WA
Enumeration date
12/15/2005
Last updated
09/11/2025
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