Provider Demographics
NPI:1760955009
Name:OSBORN, ALAINA MARIE (OT)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:MARIE
Last Name:OSBORN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10121 SE SUNNYSIDE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-5750
Mailing Address - Country:US
Mailing Address - Phone:971-245-6663
Mailing Address - Fax:971-245-6664
Practice Address - Street 1:15390 NW CORNELL RD STE 230
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-5627
Practice Address - Country:US
Practice Address - Phone:971-245-6663
Practice Address - Fax:971-245-6664
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR338617225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA/PENDING