Doctor Name: | SHARON L OLSON |
NPI Number: | 1194768465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 20A5483 |
Business Practice Address: | 496 S Main St Sebastopol, CA - 954724211 |
Business Phone Number: | 7076957438 |
Business Fax Number: | 7075456068 |
Mailing Address: | Po Box 486, 64-5009 Mana Rd KAMUELA |
State: | HI |
Postal Code: | 967430486 |
Phone Number: | 8088857880 |
Fax Number: | 8088857809 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 04/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 20A5483 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |