Provider Demographics
NPI:1205002268
Name:WASHINGTON, ELIZABETH DAY (RDH)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:DAY
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2201 WILLAMETTE ST STE A
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3091
Mailing Address - Country:US
Mailing Address - Phone:541-343-3722
Mailing Address - Fax:
Practice Address - Street 1:2201 WILLAMETTE ST STE A
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3091
Practice Address - Country:US
Practice Address - Phone:541-343-3722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROR H1843124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist