Osborn, Tristan Richard
Osborn, Tristan Richard is an individual health care provider with primary practice located at 12040 Ne 128Th St # Ms 105 , Kirkland WA 98034-3013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Osborn, Tristan Richard can be contacted via phone (425) 899-2560.Contact Information
Primary practice address
12040 Ne 128Th St # Ms 105
Kirkland WA 98034-3013
Phone: (425) 899-2560
Fax: (425) 899-2079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD60150566 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60150566 | Washington |
Profile Details
| NPI number | 1386843969 |
|---|---|
| LBN Legal business name | Osborn, Tristan Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jul 12th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386843969 | NPPES |
| Washington | MEDICAID | 1386843969 |
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Rougier, Sarah P.
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12040 Ne 128Th St , Kirkland WA 98034-3013