Provider Demographics
NPI:1588851166
Name:OSORIO, DONNA L (MA)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:L
Last Name:OSORIO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 NW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-7017
Mailing Address - Country:US
Mailing Address - Phone:503-515-4673
Mailing Address - Fax:
Practice Address - Street 1:1229 NW 1ST ST
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-7017
Practice Address - Country:US
Practice Address - Phone:503-515-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor