Individual
MS. VICTORIA DIANNE OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
9828 E BURNSIDE ST STE 210, PORTLAND, OR 97216-2364
(503) 239-7597
(503) 232-4446
Mailing address
9828 E BURNSIDE ST STE 210, PORTLAND, OR 97216-2364
(503) 239-7597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00-07-52
OR
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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