Individual
MICHELLE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2120 EXCHANGE ST, SUITE 104, ASTORIA, OR 97103-3365
(503) 325-7711
Mailing address
2120 EXCHANGE ST, SUITE 104, ASTORIA, OR 97103-3365
(503) 325-7711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1023481
OR
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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