MEDICARE: CHERYL WASHINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		OH
2	246Q00000X	Pathology Specialist/Technologist		OH

General Provider Information

NPI Number	:	1104779925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL WASHINGTON

Provider Business Mailing Address
First Line	:	106 E MAPLEWOOD AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-2836
Country	:	US
Telephone Number	:	513-978-3010
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 E MAPLEWOOD AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-2836
Country	:	US
Telephone Number	:	513-978-3010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “ CHERYL WASHINGTON ” Practice Location

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