Maya Kathleen Washizu, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC175173 Issued in OR

Practice address

474 Willamette St. Suite 303
Eugene, OR 97401

Phone

(707) 280-7606

Fax

(541) 919-0120

NPI assigned

Apr 25, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Washizu Body Wellness

  • Acupuncturist
  • Eugene, OR
  • NPI 1972110187
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1063867331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 N. PARK AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97404",
            "telephone_number": "707-280-7606",
            "fax_number": "541-919-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WILLAMETTE ST. SUITE 303",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "707-280-7606",
            "fax_number": "541-919-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHIZU",
        "first_name": "MAYA",
        "middle_name": "KATHLEEN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC175",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC175173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viola E. Washburn, MS, LPC
• Elizabeth Day Washington, RDH
• Perry Wayne Washington, QMHA
• Shauna Washington
• Washizu Body Wellness
• Jennifer Gwen Wassermiller, MSW
• Carrie S Waters, PT
• Kathryn C Waters, DC
• Scott J Waters, LPC
• Shannon Marie Waters

• Acupuncturist in Eugene, OR
• Providers in Eugene, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.