Individual
DIANE S OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3303 SW BOND AVE STE 9, PORTLAND, OR 97239-4501
(503) 494-7400
(503) 494-4749
Mailing address
3303 SW BOND AVE STE 9, PORTLAND, OR 97239-4501
(503) 494-7400
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201910932NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8392OS
BLUE SHIELD # VM
WA
05
—
9653999
—
WA
Enumeration date
06/05/2007
Last updated
02/14/2020
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