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Individual

MRS. KEVAN JOYCE OLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP PSYCHIATRIC

Contact information

Practice address
255 W STEWART AVE STE 101, MEDFORD, OR 97501-3600
(541) 772-5992
Mailing address
PO BOX 93, BUTTE FALLS, OR 97522
(541) 488-7341

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
096006565N6
OR

Other

Enumeration date
08/22/2006
Last updated
09/06/2011
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