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NPI Code Detail

MEDICARE: NIKOL OLSON

MEDICARE: NIKOL OLSON
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
1101Y00000XCounselor
2104100000XSocial Worker

General Provider Information

NPI Number : 1760831986
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKOL OLSON
Provider Business Mailing Address
First Line : 1201 S PROCTOR ST
Second Line :
City : TACOMA
State : WA
Zip : 98405-2047
Country : US
Telephone Number : 253-678-3673
Fax Number :
Provider Business Practice Location Address
First Line : 9040 JACKSON AVE
Second Line :
City : TACOMA
State : WA
Zip : 98431-2047
Country : US
Telephone Number : 253-477-6365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2016
Last Update Date : 04/23/2025

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Directions to “ NIKOL OLSON ” Practice Location

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