Osborn, Dustan C

Osborn, Dustan C is an individual health care provider with primary practice located at 1201 Bishop Rd , Chehalis WA 98532-8711. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Osborn, Dustan C can be contacted via phone (360) 345-1381.

Contact Information

Primary practice address
1201 Bishop Rd Chehalis WA 98532-8711
Phone: (360) 345-1381
Fax: (360) 345-1382
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00021486 Washington
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MED-PHYS-LIC-109470 Montana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD00021486 Washington

Profile Details

NPI number 1528061132
LBN Legal business name Osborn, Dustan C
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jun 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528061132 NPPES
Washington MEDICAID 1011980

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