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NPI Code Detail

MEDICARE: MARCIE DENISE OLSON MSW, LCSW

MEDICARE: MARCIE DENISE OLSON MSW, LCSW
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 WorkerOR 001676OR
21041C0700XClinical Social WorkerWA LW00006529WA

General Provider Information

NPI Number : 1518060433
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIE DENISE OLSON MSW, LCSW
Provider Business Mailing Address
First Line : 620 H ST
Second Line :
City : COLUMBIA CITY
State : OR
Zip : 97018-8711
Country : US
Telephone Number : 503-442-9090
Fax Number :
Provider Business Practice Location Address
First Line : 12607 SE MILL PLAIN BLVD
Second Line : CASCADE PARK MEDICAL OFFICE
City : VANCOUVER
State : WA
Zip : 98684-6055
Country : US
Telephone Number : 360-896-4460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 12/22/2021

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