Individual
DR. MARK WARREN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 WALLACE RD NW, SALEM, OR 97304-3116
(503) 361-5400
(503) 361-5401
Mailing address
8750 OAK GROVE RD, RICKREALL, OR 97371-9766
(503) 835-4001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OR MD09591
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23416-1
—
OR
Enumeration date
10/19/2006
Last updated
02/04/2022
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