Healthcare Provider Details

I. General information

NPI: 1891785838
Provider Name (Legal Business Name): PETER JAMES SCHLEGEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W POPLAR ST
WALLA WALLA WA
99362-2846
US

IV. Provider business mailing address

401 W POPLAR ST
WALLA WALLA WA
99362-2846
US

V. Phone/Fax

Practice location:
  • Phone: 509-897-5700
  • Fax: 509-897-5705
Mailing address:
  • Phone: 509-897-5700
  • Fax: 509-897-5705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD00037257
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: