Individual
CERISE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
365 S REDWOOD ST, CANBY, OR 97013-2405
(503) 651-2020
Mailing address
1411 NW QUIMBY ST APT 402, PORTLAND, OR 97209-4090
(714) 501-9459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64710
OR
Other
Enumeration date
09/30/2022
Last updated
10/03/2024
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