Individual
OYINKANSOLA O OSOBAMIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-6561
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(800) 329-8387
(206) 764-2936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61196813
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558926964
—
WA
Enumeration date
05/01/2019
Last updated
06/27/2022
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