Individual
MICHAEL VERNON OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5440 SW WESTGATE DR, 220, PORTLAND, OR 97221-2420
(503) 292-7577
(503) 292-7971
Mailing address
5440 SW WESTGATE DR, 220, PORTLAND, OR 97221-2420
(503) 292-7577
(503) 292-7971
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
17362
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072041
—
OR
Enumeration date
12/04/2006
Last updated
07/09/2007
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