Individual provider · Type 1 NPI
Kevan Joyce Olson, NP PSYCHIATRIC
Psychiatric/Mental Health Nurse Practitioner · Medford, OR
NPI number
1164538096
Active
Practice location
255 W Stewart Ave Ste 101
Medford, OR 97501-3600
Mailing address
PO Box 93
Butte Falls, OR 97522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 096006565N6 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1164538096
Kevan Joyce Olson, NP PSYCHIATRIC's National Provider Identifier is 1164538096, issued on Aug 22, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Medford, OR. The record was last updated on Sep 6, 2011.