Provider Demographics
NPI:1467533778
Name:OSBORNE, PATRICIA J (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:J
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 42476
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97242-0476
Mailing Address - Country:US
Mailing Address - Phone:503-224-9363
Mailing Address - Fax:503-224-1870
Practice Address - Street 1:916 SW KING AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-1303
Practice Address - Country:US
Practice Address - Phone:503-224-9363
Practice Address - Fax:503-224-1870
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR81046778163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health