Individual
BRIAN RAY OLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
N. 68 CUSHMAN AVE., HOODSPORT, WA 98548-0817
(360) 877-5151
(360) 877-5134
Mailing address
PO BOX 817, HOODSPORT, WA 98548-0817
(360) 877-5151
(360) 877-5134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5463
WA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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