Mira Regina Olson
Gastroenterologist
700 Mount Hope Ave Ste 430
Bangor
, Maine 04401-5677
Mira Regina Olson
Gastroenterologist
700 Mount Hope Ave Ste 430
Bangor
, Maine 04401-5677
(207) 769-3384
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Mira Regina Olson
- Po Box 2252
- Bangor, ME
- Zip : 04402-2252
- Fax : (207) 769-3384
- Phone : (207) 814-0758
Second Address
- Mira Regina Olson
- 700 Mount Hope Ave Ste 430
- Bangor, ME
- Zip : 04401-5677
- Fax : (833) 963-2313
- Phone : (207) 659-9006
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | MD18537 | ME |
National Provider Identifier
| NPI | 1033314620 |
|---|---|
| Provider Name | Mira Regina Olson |
| First Address | Bangor, ME 04402-2252 |
| Second Address | Bangor, ME 04401-5677 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2007 |
| Last Update Date | 16/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1070564 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.