Individual
ADRIAN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 HARRISON ST, PORT TOWNSEND, WA 98368-6518
(360) 385-4700
Mailing address
642 HARRISON ST, PORT TOWNSEND, WA 98368-6518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60760031
WA
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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