Individual
DR. NATHAN FORREST OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
62968 O B RILEY RD, SUITE E-2, BEND, OR 97701-9442
(541) 728-0978
(541) 728-0979
Mailing address
62968 O B RILEY RD, SUITE E-2, BEND, OR 97701-9442
(541) 728-0978
(541) 728-0979
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
77432
AZ
2084P0800X
Psychiatry Physician
MD154386
OR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD154386
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500640714
—
OR
Enumeration date
05/22/2007
Last updated
07/22/2013
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