Individual
DR. JEFFREY S OLENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18610 NW CORNELL RD, SUITE 300, HILLSBORO, OR 97124-9206
(503) 216-9300
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13473
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130005
—
OR
Enumeration date
10/13/2006
Last updated
10/13/2021
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