Individual
JAMIE OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1307 W MAIN ST, MEDFORD, OR 97501-2936
(541) 618-1314
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G85701
CA
207Q00000X
Family Medicine Physician
Primary
MD199997
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G857010
—
CA
Enumeration date
07/11/2006
Last updated
10/06/2020
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