Individual
MATTHEW OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
4040 SE HIGH SCHOOL DR, LINCOLN CITY, OR 97367-1620
(541) 996-2136
Mailing address
4040 SE HIGH SCHOOL DR, LINCOLN CITY, OR 97367-1620
(541) 996-2136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013250
OR
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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