Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD21557 | OR |
NPI | 1013976265 |
---|---|
Provider Name | Dr. Janice Faye Olson |
First Address | Portland, OR 97227-1623 |
Second Address | Portland, OR 97227-1623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 08/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
092606 | (05) | OR |
F31545 | (02) |