Individual
DONALD M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 ROYAL AVE, MEDFORD, OR 97504-6169
(541) 732-8400
(541) 732-8401
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-8400
(541) 732-8401
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD169921
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500625496
—
OR
Enumeration date
09/24/2006
Last updated
03/22/2021
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