Jeff Olson, L.AC., MACOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 60619873 Issued in WA

Practice address

1436 A St
Suite 105
Washougal, WA 98671-2378

Phone

(360) 207-0134

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Washougal Acupuncture and Massage, LLC

  • Acupuncturist
  • Washougal, WA
  • NPI 1902154974
  NPD (past) Authorized official

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1679537872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 A ST",
            "address_2": "SUITE 105",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712378",
            "telephone_number": "360-207-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 A ST",
            "address_2": "SUITE 105",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986712378",
            "telephone_number": "360-207-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JEFF",
        "credential": "L.AC., MACOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00901",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60619873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neeley Psychological Services, LLC
• Benjamin John Neeley, PH.D.
• Chris Neveux, CCC-SLP
• Corrine U Nightingale, CRC, NCC
• Jack Riley Olson
• Orchard Hills Dental
• Melissa Owens, LPC
• Jennifer Jill Pariera, LCSW
• Nicoleta N Pearce, OD
• Katherine West Pearson, D.O.

• Acupuncturist in Washougal, WA
• Providers in Washougal, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.