Healthcare Provider Details

I. General information

NPI: 1598796203
Provider Name (Legal Business Name): DAVID WASHO RRT RPSGT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 ABBEY DR
CLARKS SUMMIT PA
18411
US

IV. Provider business mailing address

PO BOX 73
CLARKS SUMMIT PA
18411
US

V. Phone/Fax

Practice location:
  • Phone: 570-586-3748
  • Fax: 570-586-9726
Mailing address:
  • Phone: 570-586-3748
  • Fax: 570-586-9726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberYM0035534
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6000003565
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: