Provider Demographics
NPI:1710702485
Name:OSORNO, FRANK (CHW)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:OSORNO
Suffix:
Gender:M
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 CENTER ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-4530
Mailing Address - Country:US
Mailing Address - Phone:503-584-4860
Mailing Address - Fax:
Practice Address - Street 1:3160 CENTER ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4530
Practice Address - Country:US
Practice Address - Phone:503-373-3781
Practice Address - Fax:503-566-2948
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker