Individual
MARK C OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W 5TH AVE, STE 400, SPOKANE, WA 99204-2705
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE, STE 400, SPOKANE, WA 99204-2705
(509) 344-2663
(509) 624-9179
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00013246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000101463343
REGENCE BLUE SHIELD OF ID
ID
01
—
000010146343
REGENCE BLUE SHIELD OF ID
ID
05
—
003864700I
—
ID
05
—
0072641
—
MT
01
—
0261186
STATE L&I
WA
01
—
149065
DEPT OF LABOR & INDUSTRIE
WA
05
—
1651207
—
WA
01
—
200040946
RR MEDICARE
WA
01
—
379109600
OWCP
WA
01
—
513
GROUP HEALTH NW
WA
01
—
8929872
CRIME VICTIMS
WA
01
—
KQ530
BLUE CROSS OF IDAHO
ID
01
—
OL3345
ASURIS NW HEALTH
WA
Enumeration date
03/09/2006
Last updated
11/26/2012
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