Healthcare Provider Details

I. General information

NPI: 1447415146
Provider Name (Legal Business Name): WILLIAM WASHINGTON MD, MPH, FACPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 11/07/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
HONOLULU HI
96819
US

IV. Provider business mailing address

TRIPLER AMC 1 JARRETT WHITE RD
HONOLULU HI
96859
US

V. Phone/Fax

Practice location:
  • Phone: 602-481-7727
  • Fax:
Mailing address:
  • Phone: 602-481-7727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number24587
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number24587
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: