Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD17370 | OR |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD00031915 | WA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD17370 | OR |
NPI | 1265409916 |
---|---|
Provider Name | Dr. Lynn E Osmundsen |
First Address | Vancouver, WA 98683-9591 |
Second Address | Vancouver, WA 98683-9591 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 13/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1088665 | (05) | WA |
F69862 | (02) | WA |