Osborne, Michael Vernon

Osborne, Michael Vernon is an sole proprietor health care provider with primary practice located at 5440 Sw Westgate Dr 220, Portland OR 97221-2420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Osborne, Michael Vernon can be contacted via phone (503) 292-7577.

Contact Information

Primary practice address
5440 Sw Westgate Dr 220 Portland OR 97221-2420
Phone: (503) 292-7577
Fax: (503) 292-7971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 17362 Oregon

Profile Details

NPI number 1225196421
LBN Legal business name Osborne, Michael Vernon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 9th, 2007 - about 17 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 1225196421 NPPES
Oregon MEDICAID 072041

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