Healthcare Provider Details

I. General information

NPI: 1508929902
Provider Name (Legal Business Name): ROBERT B OLSEN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MADISON STREET SUITE 1290
SEATTLE WA
98104
US

IV. Provider business mailing address

1101 MADISON STREET SUITE 1290
SEATTLE WA
98104
US

V. Phone/Fax

Practice location:
  • Phone: 206-622-5455
  • Fax: 206-622-2008
Mailing address:
  • Phone: 206-622-5455
  • Fax: 206-622-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberMD00016720
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00016720
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD00016720
License Number StateWA

VIII. Authorized Official

Name: DR. ROBERT BARRINGTON OLSEN
Title or Position: PRESIDENT
Credential: MD
Phone: 206-622-5455