Individual
ROBERT WAYNE OLSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3209 S 23RD ST STE 200, TACOMA, WA 98405
(253) 272-5127
Mailing address
2420 S UNION AVE STE 200, TACOMA, WA 98405-1323
(360) 413-8191
(253) 682-2427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60010416
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP604744388
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000357600
GROUP MEDICARE #
WA
01
—
1730187899
GROUP NPI
—
Enumeration date
07/03/2014
Last updated
04/30/2019
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