Individual
DR. KEVIN DONALD OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19260 SW 65TH AVE, STE 435, TUALATIN, OR 97062-7707
(503) 692-2032
(503) 692-4450
Mailing address
19260 SW 65TH AVE, STE 435, TUALATIN, OR 97062-7707
(503) 692-2032
(503) 692-4450
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD17386
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072780
—
OR
05
—
2006586
—
WA
Enumeration date
05/24/2005
Last updated
12/22/2011
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