NPI 1194486118

Marshall Washington, CSFA

Practitioner Surgical Technologist Boise, ID

Practice location

Address: 1425 W River St, Boise, ID 83702-6861
Phone: (208) 908-3664
Mailing address: 6065 W Oreana Dr, Boise, ID 83709-3144

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 170359 (ID)

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1194486118
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jan 2022
Record last updated: 2 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.