Individual
JEFF OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC., MACOM
Contact information
Practice address
1436 A ST, SUITE 105, WASHOUGAL, WA 98671-2378
(360) 207-0134
Mailing address
1436 A ST, SUITE 105, WASHOUGAL, WA 98671-2378
(360) 207-0134
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 60619873
WA
171100000X
Acupuncturist
AC00901
OR
Other
Enumeration date
04/14/2006
Last updated
01/19/2016
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