Individual
MR. GUY ARTHUR OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
3201 NE 223RD AVE UNIT 87, FAIRVIEW, OR 97024-8772
(503) 960-8553
Mailing address
3201 NE 223RD AVE UNIT 87, FAIRVIEW, OR 97024-8772
(503) 960-8553
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200230090LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200230090LPN
OREGON NURSING BOARD
OR
Enumeration date
07/07/2011
Last updated
07/07/2011
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