Individual
DR. JOHN PILGRIM OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 MADISON ST STE 800, SEATTLE, WA 98104-1306
(206) 215-2700
(206) 215-2702
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
0101054891
VA
2080P0214X
Pediatric Pulmonology Physician
Primary
28719
WA
2080P0214X
Pediatric Pulmonology Physician
MD34109
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6707297
—
VA
05
—
6711006
—
VA
05
—
6715397
—
VA
05
—
6716369
—
VA
05
—
6716865
—
VA
Enumeration date
04/25/2006
Last updated
05/01/2015
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