NPI Code Detail JSON Logo

1689045320 NPI number — BARRY WALLACE WASHBURN

NPI Number: 1689045320
Health Care Provider/Practitioner: BARRY WALLACE WASHBURN

Information about “1689045320” NPI (BARRY WALLACE WASHBURN) exists in 1689045320 in HTML format HTML  |  1689045320 in plain Text format TXT  |  1689045320 in PDF (Portable Document Format) PDF  |  1689045320 in an XML format XML  formats.

NPI Number : 1689045320 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689045320",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WASHBURN",
    "FirstName": "BARRY",
    "MiddleName": "WALLACE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WASHBURN",
    "OtherFirstName": "BARRY",
    "OtherMiddleName": "WALLACE",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2808 1/2 BENCH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ABERDEEN",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98520-1506",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-533-1874",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "224 E WISHKAH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ABERDEEN",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98520-6513",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-532-9050",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/07/2015",
    "LastUpdateDate": "10/07/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "852",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.