Individual
MR. ANDREW COLE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2420 S STATE ST, TACOMA, WA 98405-2845
(253) 426-4000
(253) 428-8440
Mailing address
2420 S STATE ST, TACOMA, WA 98405-2845
(253) 426-4000
(253) 428-8440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61334301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224022
—
WA
Enumeration date
07/05/2022
Last updated
02/19/2024
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