Provider Demographics
NPI:1861787384
Name:OSBORN, GRAHAM WORDSWORTH (MD)
Entity type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:WORDSWORTH
Last Name:OSBORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1979 SNYDER ST STE 150
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-5321
Mailing Address - Country:US
Mailing Address - Phone:509-376-6853
Mailing Address - Fax:
Practice Address - Street 1:1979 SNYDER ST STE 150
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-5321
Practice Address - Country:US
Practice Address - Phone:509-376-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA612824942083X0100X, 2083X0100X
VA390200000X
IL036158458390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program