MRS. LEEANN CHERYL OSBORNE (NPI# 1740469378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740469378 |
| Entity Type | Individual |
| Full Name | MRS. LEEANN CHERYL OSBORNE |
| Other Name | MISS LEEANN CHERYL STILL |
| Credential | P.A.C. |
| Practice Address |
375 Nw Beaver St Suite 101 Prineville OR 97754 |
| Practice Telephone | 5414471680 |
| Practice Fax Number | 5414474670 |
| Mailing Telephone | 5414470707 |
| Mailing Fax Number | 5414470708 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2010-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01293 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 213187 | 05 | |
| OR | MEDICARE RHC | 383860 | 01 |
| Street Address |
375 NW BEAVER ST SUITE 101 |
| City | PRINEVILLE |
| State | OR |
| Zip Code | 97754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073523122 | Linda Hatch | Nurse Practitioner | 375 Nw Beaver St, Prineville, OR 97754-1802 | 2006-08-09 |
| 1285146928 | Susan Puddy | Registered Nurse | 375 Nw Beaver St, Prineville, OR 97754-1802 | 2017-11-03 |
| 1346785318 | Wendy Perrin | Registered Nurse | 375 Nw Beaver St, Prineville, OR 97754-1802 | 2016-12-30 |
| 1174066963 | Mosaic Medical Dental | Clinic/Center | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 | 2016-11-28 |
| 1699129890 | Megann Dastrup | Dietitian, Registered | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 | 2016-04-14 |
| 1124482070 | Jennifer Damore | Nurse Practitioner | 375 Nw Beaver St, Suite 100, Prineville, OR 97754-1802 | 2016-04-07 |
| 1548644867 | Katrina Simpson | Registered Nurse | 375 Nw Beaver St, Prineville, OR 97754-1802 | 2015-07-16 |
| 1821489873 | Leah Flegel | Registered Nurse | 375 Nw Beaver St, #100, Prineville, OR 97754-1802 | 2015-02-12 |
| 1114359643 | Rebecca G. Lundgren | Registered Nurse | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 | 2013-08-07 |
| 1992047666 | Paula Yvonne | Registered Nurse | 375 Nw Beaver St, Suite 100, Prineville, OR 97754-1802 | 2013-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
| 1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
| 1376810838 | Jessica Lynn Neely | Counselor | 1333 Nw 9th Street, Prineville, OR 97754 | 2011-11-28 |
| 1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
| 1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
| 1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| Find all providers in zip 97754 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811217078 | Lindsey Gail Mckay | Physician Assistant | 750 Nw 4th St, Prineville, OR 97754-1436 | 2010-06-10 |
| 1902248776 | Cascade Direct Care Inc | Physician Assistant | 750 Nw 4th St, Prineville, OR 97754-1436 | 2013-07-22 |
| 1679653745 | Scott Matthew Light | Physician Assistant | 1251 Ne Elm St, Suite 1a, Prineville, OR 97754-1206 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
| City | PRINEVILLE |
| Zip Code | 97754 |
Please comment or provide details below to improve the information on MRS. LEEANN CHERYL OSBORNE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.