# DR. BRIAN R. OLESON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790902542
- **Authorized official:** DR. BRIAN R. OLESON D.D.S. (OWNER)
- **Authorized official phone:** (360) 877-5151

## Contact information

- **Practice address:** N. 68 LAKE CUSHMAN RD., HOODSPORT, WA 98548-0817
- **Practice address phone:** (360) 877-5151
- **Practice address fax:** (360) 877-5134
- **Mailing address:** PO BOX 817, HOODSPORT, WA 98548-0817
- **Mailing address phone:** (360) 877-5151
- **Mailing address fax:** (360) 877-5134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00005463 | WA | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020