Individual
DR. DAVID J WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
544 W. UMPQUA ST, ROSEBURG, OR 97470
(541) 672-9596
(541) 464-3519
Mailing address
544 W. UMPQUA ST, ROSEBURG, OR 97470
(541) 672-9596
(541) 464-3519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5509
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009352000
BLUE CROSS OF OR
OR
01
—
917114
UNITED CONCORDIA
OR
Enumeration date
03/05/2007
Last updated
08/28/2008
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