Individual
ANDREA HOPE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
23 NW GREENWOOD AVE, BEND, OR 97703-2078
(541) 383-4293
(541) 383-4935
Mailing address
23 NW GREENWOOD AVE, BEND, OR 97703-2078
(541) 383-4293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
500654390
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500654390
—
OR
Enumeration date
05/01/2019
Last updated
04/13/2021
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