Healthcare Provider Details

I. General information

NPI: 1992615660
Provider Name (Legal Business Name): ROBERT WASHBURN JR. CPRS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BOBBY WASHBURN CPRS

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 GARDEN LN
HOPE RI
02831-1732
US

IV. Provider business mailing address

8 GARDEN LN
HOPE RI
02831-1732
US

V. Phone/Fax

Practice location:
  • Phone: 401-209-4035
  • Fax:
Mailing address:
  • Phone: 401-209-4035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number202153
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: