Individual
KATHRYN M OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 NW MYHRE RD STE 1220, SILVERDALE, WA 98383-8676
(360) 698-4505
(253) 952-6824
Mailing address
1780 NW MYHRE RD STE 1220, SILVERDALE, WA 98383-8676
(360) 698-4505
(253) 952-6824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60611261
WA
363AM0700X
Medical Physician Assistant
Primary
PA60611261
WA
363AS0400X
Surgical Physician Assistant
PA60611261
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050138
—
WA
Enumeration date
09/16/2014
Last updated
12/08/2020
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