Provider Demographics
NPI:1376682658
Name:OSBORNE, BRITTNEY (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 NW SHEVLIN PARK RD STE 110
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-7134
Mailing Address - Country:US
Mailing Address - Phone:805-541-6813
Mailing Address - Fax:
Practice Address - Street 1:2255 NW SHEVLIN PARK RD STE 110
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-7134
Practice Address - Country:US
Practice Address - Phone:541-728-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10036355363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2035Medicare ID - Type UnspecifiedDOCUMENTATION NUMBER