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Individual

NATHANIEL OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239
(503) 220-8262
Mailing address
1470 NW GLISAN ST APT 511, PORTLAND, OR 97209-4086
(501) 539-4376

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202003048RN
OR
163W00000X
Registered Nurse
R101323
AR

Other

Enumeration date
03/11/2021
Last updated
03/11/2021
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