Justine Osborn, L.M.T

Primary specialty

SpecialistTaxonomy code 174400000X

License

13058 Issued in OR

Practice address

4310 N. Interstate Ave
Portland, OR 97217

Phone

(503) 235-7130

Fax

(503) 235-7134

NPI assigned

Apr 13, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Justine White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dale Marcum DC LLC

  • Chiropractor
  • Portland, OR
  • NPI 1255466173
  NPD (past)
• Hartwig Chiropractic, LLC

  • Rehabilitation Clinic/Center
  • Portland, OR
  • NPI 1730486408
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1801282199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 N. INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97217",
            "telephone_number": "503-235-7130",
            "fax_number": "503-235-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 N. INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97217",
            "telephone_number": "503-235-7130",
            "fax_number": "503-235-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "JUSTINE",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "13058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "WHITE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bradley Joseph Osborn, CAS, CADCII, SUDP
• Denise Rachel Osborn, BSW
• Diane S Osborn, ARNP
• Hanna Osborn
• Jessica Osborn
• Kayla Osborn, RN, BSN
• Lisa Mae Osborn, M.S., L.AC.
• Richrad Alan Osborn, M.D.
• Shelley Nicole Osborn, PSY.D.
• Breanna Osborne

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.