Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 81942 | AZ |
N | 208000000X | Pediatrician | MD195988 | OR |
Y | 2080P0208X | Pediatric Infectious Diseases | 60144638 | WA |
NPI | 1083814685 |
---|---|
Provider Name | Scott Chambers Olson |
First Address | Bend, OR 97701-6015 |
Second Address | Bend, OR 97701-6015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2007 |
Last Update Date | 01/06/2020 |