Individual
DEANNA K OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3250 SE LLEWELLYN ST, MILWAUKIE, OR 97222-6544
(503) 353-0888
(503) 653-5060
Mailing address
3250 SE LLEWELLYN ST, MILWAUKIE, OR 97222-6544
(503) 353-0888
(503) 653-5060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD17140
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028519
—
OR
Enumeration date
09/01/2005
Last updated
07/08/2007
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