Organization
PRIVIA MEDICAL GROUP WASHINGTON, PLLC
Active
Other names
DEER PARK URGENT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD FARGIS (GENERAL COUNSEL)
(571) 366-8850
Entity
Organization
Contact information
Practice address
702 S PARK ST STE A, DEER PARK, WA 99006-7025
(509) 262-9000
(509) 276-3034
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
10/07/2025
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