| Doctor Name: | MARILYN OLENA SYVERSON |
| NPI Number: | 1003977737 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 8708 |
| Business Practice Address: | 891 Nw Grant Ave Corvallis, OR - 973304539 |
| Business Phone Number: | 5412078606 |
| Business Fax Number: | |
| Mailing Address: | Po Box 441, CORVALLIS |
| State: | OR |
| Postal Code: | 973390441 |
| Phone Number: | 5412078606 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8708 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |