Individual
DR. AMANDA OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1249 PLAZA BLVD, STE F, CENTRAL POINT, OR 97502-2670
(800) 219-8835
Mailing address
11481 SW HALL BLVD, STE. 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5687
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500631918
—
OR
Enumeration date
12/09/2008
Last updated
06/02/2011
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