Individual
JACOB OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
33640 E COLUMBIA AVE, SCAPPOOSE, OR 97056-3425
(503) 543-4949
Mailing address
58886 EVERGREEN LOOP, SAINT HELENS, OR 97051-3724
(503) 396-1879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12218
OR
Other
Enumeration date
07/09/2025
Last updated
07/10/2025
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