Individual
DR. PAUL J. OLSOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
625 BLACK LAKE BLVD SW STE 110, OLYMPIA, WA 98502-8603
(360) 357-2542
Mailing address
8316 N LOMBARD ST, UNIT #404, PORTLAND, OR 97203-3727
(503) 481-3343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3252AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022969
—
WA
Enumeration date
10/19/2009
Last updated
07/21/2022
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