Provider Demographics
NPI:1467719286
Name:WASHAK, ELIZABETH J (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:J
Last Name:WASHAK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40722
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-0130
Mailing Address - Country:US
Mailing Address - Phone:541-632-3540
Mailing Address - Fax:
Practice Address - Street 1:36 IRVING RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-2002
Practice Address - Country:US
Practice Address - Phone:541-654-7416
Practice Address - Fax:541-515-6728
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor