Trevor Washburn, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD202039 Issued in OR

Practice address

700 SW Ramsey Ave Ste 204
Grants Pass, OR 97527-5792

Phone

(309) 671-8450

Fax

(309) 671-8452

NPI assigned

May 2, 2018

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trevorwashburn@sipeclnc.allscriptsdirect.net

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.

• Siskiyou Pediatric Clinic, LLP

  • Pediatrics Physician
  • Grants Pass, OR
  • NPI 1700999521
  NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1891284212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SW RAMSEY AVE STE 204",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275792",
            "telephone_number": "541-955-5683",
            "fax_number": "541-955-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW RAMSEY AVE STE 204",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275792",
            "telephone_number": "309-671-8450",
            "fax_number": "309-671-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "TREVOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD202039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allegra Nicole Warren
• Beth Warren, LMT
• Sierra Dawn Warren
• Alexis Nicole Warrick
• John Phillip Waschak, DDS
• Catherine J Watson
• Michael John Watson, CADC 1
• Angela Watton
• Lucy Laurel Way, MS; LPC
• Taylor Way

• Pediatrics Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.