Individual
DR. MARY G OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6940 SW BAYLOR ST, TIGARD, OR 97223-2518
(503) 684-6345
(503) 968-9522
Mailing address
6940 SW BAYLOR ST, TIGARD, OR 97223-2518
(503) 684-6345
(503) 968-9522
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0880
OR
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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