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NPI Code Detail

MEDICARE: HEATHER M OLSEN

MEDICARE:   HEATHER M OLSEN
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
11041C0700XClinical Social WorkerSWI.LW.70049913WA
2104100000XSocial WorkerLMSW-39693ID

General Provider Information

NPI Number : 1457293813
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER M OLSEN
Provider Business Mailing Address
First Line : 1869 E SELTICE WAY # 333
Second Line :
City : POST FALLS
State : ID
Zip : 83854-7019
Country : US
Telephone Number : 208-446-3476
Fax Number :
Provider Business Practice Location Address
First Line : 1869 E SELTICE WAY # 333
Second Line :
City : POST FALLS
State : ID
Zip : 83854-7019
Country : US
Telephone Number : 208-517-7132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 05/21/2026

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Directions to “ HEATHER M OLSEN ” Practice Location

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