Individual
MRS. JILL M OLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
815 SW BOND ST, BEND, OR 97702
(541) 382-2811
Mailing address
369 RIVERS EDGE DR, BOONE, NC 28607-6048
(828) 406-1485
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
65971
AZ
207N00000X
Dermatology Physician
MD0000044278
TN
207N00000X
Dermatology Physician
Primary
MD182503
OR
207N00000X
Dermatology Physician
MD60668630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3380668
MEDICARE GROUP
TN
01
—
4207351
BCBS
TN
01
—
5988393
CIGNA
TN
01
—
MD182503
LICENSE
OR
Enumeration date
08/01/2005
Last updated
06/25/2024
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