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Individual

DR. ROBERT O OLSEN JR.

Active
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Individual

DR. ROBERT O OLSEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD28601
OR
2084P0800X
Psychiatry Physician
2004-0270
NM
2084P0800X
Psychiatry Physician
DR.0068847
CO
2084P0800X
Psychiatry Physician
Primary
MD28601
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201047052
PRES HEALTH PLAN
NM
05
270948
OR
05
500628018
OR
05
57936757
NM
01
85-0105601
ADMAR, BEECH ST AND OTHER
NM
01
975076
PRO-NET AETNA
NM
01
P00265595
PHCS
NM
01
QMYPR00689
MOLINA
NM
Enumeration date
03/01/2007
Last updated
10/21/2024
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