Provider Demographics
NPI:1336540384
Name:WASHBURN, VIOLA E (MS, LPC)
Entity Type:Individual
Prefix:
First Name:VIOLA
Middle Name:E
Last Name:WASHBURN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3540
Mailing Address - Country:US
Mailing Address - Phone:541-729-1937
Mailing Address - Fax:844-371-8184
Practice Address - Street 1:1280 PEARL ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3540
Practice Address - Country:US
Practice Address - Phone:541-729-0217
Practice Address - Fax:844-371-8184
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4503101Y00000X, 101YM0800X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health