Individual
AMBER SUE OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2682
(971) 329-1535
Mailing address
18060 SW SALIX RIDGE ST, BEAVERTON, OR 97006-3516
(971) 329-1535
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
201400048RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202011281NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201400048RN
OSBN
OR
01
—
202011281NP-PP
OREGON STATE BOARD OF NURSING
OR
Enumeration date
03/13/2019
Last updated
12/23/2020
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