# ONE SOURCE MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225497233
- **Authorized official:** CORY OSBORNE D.C. (OWNER)
- **Authorized official phone:** (425) 780-0310

## Contact information

- **Practice address:** 18730 33RD AVE W, LYNNWOOD, WA 98037-4756
- **Practice address phone:** (425) 774-8600
- **Mailing address:** 18730 33RD AVE W, LYNNWOOD, WA 98037-4756
- **Mailing address phone:** (425) 774-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 60207940 | WA | — |
| 363L00000X | Nurse Practitioner | AP30003917 | WA | Yes |

## Other

- **Enumeration date:** 02/18/2016
- **Last updated:** 02/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9618364 | — | WA |