Individual
MR. DUSTAN C OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1201 BISHOP RD, CHEHALIS, WA 98532-8711
(360) 345-1381
(360) 345-1382
Mailing address
1201 BISHOP RD, CHEHALIS, WA 98532-8711
(360) 345-1381
(360) 345-1382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00021486
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD00021486
WA
207RX0202X
Medical Oncology Physician
MED-PHYS-LIC-109470
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011980
—
WA
Enumeration date
05/27/2005
Last updated
06/30/2022
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