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General NPI Number Information
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NPI Number | 1073331948
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Entity Type | Organization
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Legal Business Name | ROBERT OLSEN MD WASHINGTON PC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 8501 E MILL PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98664-2010
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Country | US
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Telephone | 971-300-0654
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Fax | 720-881-9063
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Provider Business Mailing Address
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Address Line | 9895 SE SUNNYSIDE RD STE F
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City | CLACKAMAS
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State | OR
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Zip | 97015-9745
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Country | US
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Telephone | 443-506-2513
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | RYAN LANAGAN
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Credential |
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Telephone | 443-506-2513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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