Individual
PERRY WAYNE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
1255 PEARL ST, EUGENE, OR 97401-3570
(541) 687-6983
Mailing address
1060 BENNETT LN, EUGENE, OR 97404-2797
(541) 603-6035
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
OR
Other
Enumeration date
06/17/2020
Last updated
04/19/2021
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