Healthcare Provider Details

I. General information

NPI: 1528913167
Provider Name (Legal Business Name): COUNTY OF WALLA WALLA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 W MAIN ST
WALLA WALLA WA
99362-2821
US

IV. Provider business mailing address

PO BOX 1753
WALLA WALLA WA
99362-0346
US

V. Phone/Fax

Practice location:
  • Phone: 509-524-2660
  • Fax:
Mailing address:
  • Phone: 509-524-2660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NANCY WENZEL
Title or Position: DIRECTOR
Credential:
Phone: 509-524-2660