Provider Demographics
NPI:1659359701
Name:WASHBURN, CAMERON LYNN (ATC)
Entity Type:Individual
Prefix:MS
First Name:CAMERON
Middle Name:LYNN
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5265 TOSCANA WAY
Mailing Address - Street 2:#215
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5305
Mailing Address - Country:US
Mailing Address - Phone:805-698-8565
Mailing Address - Fax:
Practice Address - Street 1:5265 TOSCANA WAY
Practice Address - Street 2:#215
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5305
Practice Address - Country:US
Practice Address - Phone:805-698-8565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-07
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer