Provider Demographics
NPI:1295263754
Name:OSBORNE, BRIAN CRAIG (MSW)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:CRAIG
Last Name:OSBORNE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:MR
Other - First Name:BRIAN
Other - Middle Name:C
Other - Last Name:OSBORNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1032 B W CASCADE
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837
Mailing Address - Country:US
Mailing Address - Phone:360-415-5883
Mailing Address - Fax:
Practice Address - Street 1:1032B W CASCADE AVE
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-2028
Practice Address - Country:US
Practice Address - Phone:360-304-9356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical