Doctor Name: | DR. ADAM RICHARD OLSSON |
NPI Number: | 1073701173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A101269 |
Business Practice Address: | 1229 Madison St Suite 1440 Seattle, WA - 981043586 |
Business Phone Number: | 2066250578 |
Business Fax Number: | |
Mailing Address: | 1229 Madison St, Suite 1440 SEATTLE |
State: | WA |
Postal Code: | 981043586 |
Phone Number: | 2066250578 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A101269 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |