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NPI Code Detail

MEDICARE: STEVEN M OLSEN MD

MEDICARE:   STEVEN M OLSEN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician50931MN
2207Y00000XOtolaryngology PhysicianMD156970OR

Other Identifiers

General Provider Information

NPI Number : 1154525681
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN M OLSEN MD
Provider Business Mailing Address
First Line : PO BOX 3390
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3390
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1619 WOODS CT
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-2915
Country : US
Telephone Number : 541-386-5119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 07/27/2021

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Directions to “ STEVEN M OLSEN MD” Practice Location

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