Whalio Doctors

NPI 1417966466

Jon R. Washburn, PA

Practitioner Personal Emergency Response Attendant Stockton, CA

Practice location

Address
525 West Acacia Street, Stockton, CA 95203-2405
Phone
(209) 944-5550
Mailing address
P.O. Box 11101, Westminster, CA 92685-1101

Registered specialties (2)

Personal Emergency Response Attendant Primary
Emergency Medical Service Providers Taxonomy 146D00000X Licence PA15880 (CA)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 02A5306 (CA)

Registry record

NPI
1417966466
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Aug 2006
Record last updated
22 Apr 2008

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.