Individual
JACK RILEY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 STEVES RD, WASHOUGAL, WA 98671-7221
(360) 787-1860
Mailing address
42 STEVES RD, WASHOUGAL, WA 98671-7221
(360) 787-1860
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3912045
—
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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