Marshall Washington, CSFA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

170359 Issued in ID

Practice address

1425 W River St
Boise, ID 83702-6861

Phone

(208) 908-3664

NPI assigned

Jan 2, 2022

Last updated

Jan 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1194486118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 W OREANA DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093144",
            "telephone_number": "208-908-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026861",
            "telephone_number": "208-908-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MARSHALL",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "ID",
            "license": "170359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Warrick, PMHNP-BC
• Warrior Service Company LLC
• Nicholas Warzyn
• Amy S Waselchuk, P.A.
• Kimberly Jo Washington, MOTR/L
• Barbara Elaine Wasie, FNP
• Jessica N Wasielewski, MD
• Valerie Wass, RDN, LDN
• Erika Wassom
• Jessica Wassom, LPC

• Surgical Technologist in Boise, ID
• Providers in Boise, ID by specialty
• Surgical Technologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.