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Individual

MR. GERALD ANTHONY OSACHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
13210 SW HANSON LN, BEAVERTON, OR 97008-9605
(503) 520-1638
(503) 520-1638
Mailing address
13210 SW HANSON LN, BEAVERTON, OR 97008-9605
(503) 520-1638
(503) 520-1638

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
093006069N3
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30004136
WA

Other

Enumeration date
06/19/2010
Last updated
06/19/2010
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