Kevan Joyce Olson NP PSYCHIATRIC

NPI 1164538096 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1164538096
Gender Female
Enumeration Date 08/22/2006
Last Updated 09/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
255 W STEWART AVE STE 101
MEDFORD OR, 97501-3600, US
Phone (541) 772-5992
Fax
Business Location
PO BOX 93
BUTTE FALLS OR, 97522, US
Phone (541) 488-7341
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Oregon
License Number 096006565N6
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According to our database, Mrs. Kevan Joyce Olson NP PSYCHIATRIC NPI is 1164538096, taxonomy code is 363LP0808X and license number is 096006565N6, license state is located at Oregon. Kevan Joyce Olson NP PSYCHIATRIC physically located at 255 W Stewart Ave Ste 101, Medford OR, 97501-3600. NPI Number Kevan Joyce Olson NP PSYCHIATRIC has the Individual type.

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1164538096 NPI number is provided on an as is basis without warranty of any kind. 1164538096 is maintained by the National Plan & Provider Enumeration System. The contents of Kevan Joyce Olson NP PSYCHIATRIC are for informational purposes only.