Individual
DR. MICHAEL FORD OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 VILLA RD, NEWBERG, OR 97132-1860
(503) 537-1863
Mailing address
500 VILLA RD, NEWBERG, OR 97132-1860
(503) 537-1863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60602
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60602
OREGON PHYSICAL THERAPY LICENSING BOARD
OR
Enumeration date
08/06/2018
Last updated
08/06/2018
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