Healthcare Provider Details

I. General information

NPI: 1326574005
Provider Name (Legal Business Name): RUTH PULA GEROLA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2017
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 CHASE AVE
WALLA WALLA WA
99362-2924
US

IV. Provider business mailing address

380 CHASE AVE
WALLA WALLA WA
99362-2924
US

V. Phone/Fax

Practice location:
  • Phone: 509-897-3790
  • Fax: 509-897-5558
Mailing address:
  • Phone: 509-897-3790
  • Fax: 509-897-5558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD61254404
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA175998
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: