Provider Demographics
NPI:1962070482
Name:OSAKWE-OSAWE, YVONNE (RN)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:OSAKWE-OSAWE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:OSAWE-PETIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1108 SE ALIKA AVE
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:OR
Mailing Address - Zip Code:97123-5200
Mailing Address - Country:US
Mailing Address - Phone:503-739-6236
Mailing Address - Fax:
Practice Address - Street 1:1108 SE ALIKA AVE
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:OR
Practice Address - Zip Code:97123-5200
Practice Address - Country:US
Practice Address - Phone:503-739-6236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201700286RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health