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Individual

DR. ANDREA OLSEN D'OSTROPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 SW MARKET ST, SUITE L-120, PORTLAND, OR 97201-5715
(503) 223-8147
(503) 226-2370
Mailing address
200 SW MARKET ST, SUITE L-120, PORTLAND, OR 97201-5715
(503) 223-8147
(503) 226-2370

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD23062
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287180
OR
Enumeration date
09/20/2006
Last updated
10/23/2007
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