Individual
DR. EMILY KRISTINA OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 346-0640
(503) 346-0645
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2857
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2857
PSYCHOLOGY LICENSE
OR
Enumeration date
08/02/2017
Last updated
03/07/2025
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