Individual
MRS. SUSAN LEE OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
910 W 5TH AVE, SUITE 380, SPOKANE, WA 99204-2966
(509) 570-5470
(509) 624-3315
Mailing address
910 W 5TH AVE, SUITE 380, SPOKANE, WA 99204-2966
(509) 570-5470
(509) 624-3315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001407
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122724
—
WA
01
—
P00015661
RAILROAD MEDICARE
WA
Enumeration date
07/18/2007
Last updated
06/30/2015
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