Dr Shelley Nicole Osborn, PSYD is a
Psychologist - Clinical based in Portland, Oregon. Dr Shelley Nicole Osborn is licensed to practice in California (license number PSY28074) and her current practice location is
416 Nw 13th Ave Apt 304, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(707) 860-3265.
NPI number for Dr Shelley Nicole Osborn is 1770749681 and her current mailing address is 416 Nw 13th Ave Apt 304, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770749681.
Healthcare Provider's Profile
Full Name | Dr Shelley Nicole Osborn |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 416 Nw 13th Ave Apt 304, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770749681
- Provider Enumeration Date: 07/30/2008
- Last Update Date: 04/03/2025
Medical Identifiers
Medical identifiers for Dr Shelley Nicole Osborn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770749681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 25-QMHP-R-3500 (Oregon) | Secondary |
103TC0700X | Psychologist - Clinical | PSY28074 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shelley Nicole Osborn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Shelley Nicole Osborn, PSYD 416 Nw 13th Ave Apt 304, Portland, OR 97209-2935 Ph: (707) 860-3265 | Dr Shelley Nicole Osborn, PSYD 416 Nw 13th Ave Apt 304, Portland, OR 97209-2935 Ph: (707) 860-3265 |
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