Individual provider Active NPI

Christine E. Olson, L.AC., DIPL. AC.,LMP

  • Acupuncturist
  • Vancouver, WA
National Provider Identifier
1295957421
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00003033 Issued in WA
Practice address
6202 NE Highway 99
Suite 4
Vancouver, WA 98665-8747
Phone
(360) 695-6055
Fax
(360) 695-1043
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA00018309 WA
Acupuncturist 171100000X AC00003033 WA Primary

Addresses

Primary practice location

6202 NE Highway 99
Suite 4
Vancouver, WA 98665-8747

Mailing address

PO Box 971
Woodland, WA 98674-1000
Phone (360) 521-6441

Other identifiers 1

IdentifierTypeStateIssuer
219984OtherL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00003033WAMDAcupuncturist
MA00018309WAMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Dell Therapeutic Massage Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1295957421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986741000",
            "telephone_number": "360-521-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 NE HIGHWAY 99",
            "address_2": "SUITE 4",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658747",
            "telephone_number": "360-695-6055",
            "fax_number": "360-695-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHRISTINE",
        "middle_name": "E.",
        "credential": "L.AC., DIPL. AC.,LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00018309",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00003033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "219984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.