Individual
ANDREA OLSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 SE DIVISION ST, PORTLAND, OR 97202-1017
(503) 231-9879
Mailing address
4738 SE MILWAUKIE AVE, PORTLAND, OR 97202-4730
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17038
OR
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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