Guy Arthur Olson, L.P.N.
Individual provider Active NPI Licensed Practical Nurse · Fairview, OR
NPI 1699062869 · NPPES record last updated Jul 7, 2011
Key facts
- NPI
- 1699062869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 200230090LPN (OR)
- Practice address
- 3201 NE 223Rd Ave Unit 87
Fairview, OR 97024-8772 - Phone
- (503) 960-8553
- NPI assigned
- Jul 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200230090LPN | OR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 200230090LPN | OR | Yes |
Addresses
Primary practice location
3201 NE 223Rd Ave Unit 87
Fairview, OR 97024-8772
Mailing address
3201 NE 223Rd Ave Unit 87
Fairview, OR 97024-8772
Phone (503) 960-8553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200230090LPN | Other | OR | OREGON NURSING BOARD |
Other providers in Fairview, OR
- Annabelle Miller
- Nicholas Scott Monte
- Caitlin Morris
- Daniela Viorica Muresan
- Oak Haven Residential Inc
- Aishah Omotosho
- Oregon CVS Pharmacy LLC
- Portland Vamc
- Premise Health of Oregon Medical PC
- Steven John Prom
All providers in Fairview, OR · Licensed Practical Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.