DR. WALLACE ALVIN DONALDSON M.D. NPI 1750355020

NPI Information

  • NPI: 1750355020
  • Provider Name: DR. WALLACE ALVIN DONALDSON, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 102 6TH ST
    ZILLAH, WA
    ZIP 98953
  • Phone: (509) 829-5699

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NPI Details

DR. Wallace Alvin Donaldson, M.D. is a general practice in Zillah, WA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Wallace Alvin Donaldson, M.D. NPI is 1750355020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

102 6TH ST
ZILLAH, WA
ZIP 98953-442
Phone: (509) 829-5699
Fax: (509) 829-6366

The enumeration date for this NPI number is 2/14/2006 and was last updated on 1/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeMD00009019WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11531508MEDICAIDWASHINGTON
2A06546MEDICARE UPINWASHINGTON
3G000119084MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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