Organization
JEFFREY PHILIP OLSON ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BALDWIN (OFFICE MANAGER)
(503) 228-5000
Entity
Organization
Contact information
Practice address
1706 NW GLISAN ST, SUITE 5, PORTLAND, OR 97209-2225
(503) 228-5000
(503) 228-5019
Mailing address
1706 NW GLISAN ST, SUITE 5, PORTLAND, OR 97209-2225
(503) 228-5000
(503) 228-5019
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00901
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679537872
INDIVIDUAL NPI
OR
01
—
880895000
BLUE CROSS BLUE SHIELD
OR
Enumeration date
05/21/2008
Last updated
05/21/2008
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