Healthcare Provider Details

I. General information

NPI: 1629994009
Provider Name (Legal Business Name): SARAH PRISCILLA WASHBURN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2081 FOREST AVE STE 4
SAN JOSE CA
95128-4841
US

IV. Provider business mailing address

2081 FOREST AVE STE 4
SAN JOSE CA
95128-4841
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-5123
  • Fax: 408-937-8902
Mailing address:
  • Phone: 408-358-5123
  • Fax: 408-937-8902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU4183
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: