Provider Demographics
NPI:1427461060
Name:OSHIRO, DONN (CPO)
Entity type:Individual
Prefix:
First Name:DONN
Middle Name:
Last Name:OSHIRO
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 S ORCAS ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-2654
Mailing Address - Country:US
Mailing Address - Phone:206-324-1222
Mailing Address - Fax:206-324-0070
Practice Address - Street 1:650 S ORCAS ST STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2654
Practice Address - Country:US
Practice Address - Phone:206-324-1222
Practice Address - Fax:206-324-0070
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOI00000369222Z00000X
WAPS00000350224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA256250001Medicare UPIN