MEDICARE: BRENDA ANN OLSON MD

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
1	207R00000X	Internal Medicine Physician	MD168585	OR

General Provider Information

NPI Number	:	1972811909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA ANN OLSON MD

Provider Business Mailing Address
First Line	:	8329 SW BEAVERTON HILLSDALE HWY
Second Line	:	BUILDING 2
City	:	PORTLAND
State	:	OR
Zip	:	97225-2215
Country	:	US
Telephone Number	:	503-414-5160
Fax Number	:

Provider Business Practice Location Address
First Line	:	8329 SW BEAVERTON HILLSDALE HWY
Second Line	:	BUILDING 2
City	:	PORTLAND
State	:	OR
Zip	:	97225-2215
Country	:	US
Telephone Number	:	503-414-5160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2010
Last Update Date	:	09/19/2014

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