Organization
ONE SOURCE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY OSBORNE D.C. (OWNER)
(425) 780-0310
Entity
Organization
Contact information
Practice address
18730 33RD AVE W, LYNNWOOD, WA 98037-4756
(425) 774-8600
Mailing address
18730 33RD AVE W, LYNNWOOD, WA 98037-4756
(425) 774-8600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
60207940
WA
363L00000X
Nurse Practitioner
Primary
AP30003917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9618364
—
WA
Enumeration date
02/18/2016
Last updated
02/18/2016
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