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SAMUEL C WASHBURN MA
NPI 1942656988
Counselor - Mental Health in Lake Oswego, OR

Active since May 09, 2016PECOS EnrolledAccepts Medicare Assignment
4885 PARKVIEW DR APT I, LAKE OSWEGO, OR 97035(860) 748-5676(855) 809-3522 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Mar 5, 2020, May 9, 2016 (3 updates tracked since 2016).

About Samuel C Washburn Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL C WASHBURN MA (NPI 1942656988) is an individual mental health provider in Lake Oswego, Oregon and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Forest Grove, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942656988
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL C WASHBURNCredential: MA
Location Address4885 PARKVIEW DR APT ILake Oswego, OR 97035-2437
Mailing Address4885 Parkview Dr Apt ILake Oswego, OR 97035-2437 · (860) 748-5676
Phone(860) 748-5676
Fax(855) 809-3522
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 9, 2016
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1942656988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4885 PARKVIEW DR APT I, Lake Oswego, OR 97035
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Secondary Practice Location 1

Location 13305 19th AveForest Grove, OR 97116-1909 · Phone (971) 812-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel C Washburn Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264961531
PECOS Enrollment IDI20250131000470
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Washburn's NPI number?

The NPI number for Samuel Washburn is 1942656988. It was assigned to this individual provider in the NPPES registry on May 9, 2016.

Where is Samuel Washburn located?

Samuel Washburn practices at 4885 Parkview Dr Apt I, Lake Oswego, OR 97035. The listed phone number is (860) 748-5676.

What is Samuel Washburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samuel Washburn enrolled in Medicare?

Yes. Samuel Washburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Washburn accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Samuel Washburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Washburn was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.