Individual
MOLLY L OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1108 JUNE ST, HOOD RIVER, OR 97031-1513
(541) 387-6125
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50929
MN
207R00000X
Internal Medicine Physician
Primary
MD156968
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500645390
—
OR
05
—
ENROLLED
—
MN
01
—
P00678738
RAILROAD MEDICARE
MN
Enumeration date
06/11/2007
Last updated
03/22/2021
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