Individual
DR. SCOTT OWEN WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
421 S AVENUE C, SUITE C, PORTALES, NM 88130-6328
(575) 799-0955
Mailing address
PO BOX 1314, PORTALES, NM 88130-1314
(575) 799-0955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2129
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350024807
RR MC
NM
Enumeration date
06/22/2005
Last updated
11/03/2015
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