Washburn, David J
Washburn, David J is an sole proprietor health care provider with primary practice located at 544 W. Umpqua St , Roseburg OR 97470. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Washburn, David J can be contacted via phone (541) 672-9596.Contact Information
Primary practice address
544 W. Umpqua St
Roseburg OR 97470
Phone: (541) 672-9596
Fax: (541) 464-3519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5509 | Oregon |
Profile Details
| NPI number | 1336278357 |
|---|---|
| LBN Legal business name | Washburn, David J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Aug 28th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336278357 | NPPES |
| Oregon | Other | 009352000 | BLUE CROSS OF OR |
| Oregon | Other | 917114 | BLUE CROSS OF OR |
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