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Individual

STEVEN M OLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1619 WOODS CT, HOOD RIVER, OR 97031-2915
(541) 386-5119
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
50931
MN
207Y00000X
Otolaryngology Physician
Primary
MD156970
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500645357
OR
05
ENROLLED
MN
Enumeration date
06/11/2007
Last updated
07/27/2021
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