Olson, Kevin Donald

Olson, Kevin Donald is an individual health care provider with primary practice located at 19260 Sw 65Th Ave Ste 435, Tualatin OR 97062-7707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Olson, Kevin Donald can be contacted via phone (503) 692-2032.

Contact Information

Primary practice address
19260 Sw 65Th Ave Ste 435 Tualatin OR 97062-7707
Phone: (503) 692-2032
Fax: (503) 692-4450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD17386 Oregon

Profile Details

NPI number 1407859184
LBN Legal business name Olson, Kevin Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Dec 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407859184 NPPES
Washington MEDICAID 2006586
Washington MEDICAID 072780

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