Michael Vernon Osborne
Allergist & Immunologist
5440 Sw Westgate Dr 220
Portland
, Oregon 97221-2420
Michael Vernon Osborne
Allergist & Immunologist
5440 Sw Westgate Dr 220
Portland
, Oregon 97221-2420
(503) 292-7971
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Michael Vernon Osborne
- 5440 Sw Westgate Dr 220
- Portland, OR
- Zip : 97221-2420
- Fax : (503) 292-7971
- Phone : (503) 292-7577
Second Address
- Michael Vernon Osborne
- 5440 Sw Westgate Dr 220
- Portland, OR
- Zip : 97221-2420
- Fax : (503) 292-7971
- Phone : (503) 292-7577
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 17362 | OR |
National Provider Identifier
| NPI | 1225196421 |
|---|---|
| Provider Name | Michael Vernon Osborne |
| First Address | Portland, OR 97221-2420 |
| Second Address | Portland, OR 97221-2420 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 072041 | (05) | OR |
| F71599 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.