Individual
ALYSSA MARIE POWELL OLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
2621 NE 134TH ST STE 120, VANCOUVER, WA 98686-3036
(360) 574-5452
Mailing address
1516 HUDSON ST STE 105, LONGVIEW, WA 98632-3046
(360) 423-6049
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
03/10/2020
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