Active NPI
Nathaniel Osborne
- Registered Nurse
- Portland, OR
National Provider Identifier
1144805045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 202003048RN
- Practice address
- 3710 SW US Veterans Hospital Rd
Portland, OR 97239 - Phone
- (503) 220-8262
- NPI assigned
- Mar 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 202003048RN | OR | Primary |
| Registered Nurse | 163W00000X | R101323 | AR |
Addresses
Primary practice location
3710 SW US Veterans Hospital Rd
Portland, OR 97239
Mailing address
1470 NW Glisan St Apt 511
Portland, OR 97209-4086
Phone (501) 539-4376
Other practice location 1
1470 NW Glisan St Apt 511
Portland, OR 97209-4086
Phone (501) 539-4376
Other names 1
- Nate Osborne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R101323 | AR | MD | Registered Nurse |
| 202003048RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1144805045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 NW GLISAN ST APT 511",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972094086",
"telephone_number": "501-539-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-220-8262"
}
],
"practiceLocations": [
{
"address_1": "1470 NW Glisan St Apt 511",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972094086",
"country_code": "US",
"telephone_number": "501-539-4376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSBORNE",
"first_name": "NATHANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-11",
"last_updated": "2021-03-11",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "202003048RN",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R101323",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATE",
"last_name": "OSBORNE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.