Provider Demographics
NPI:1073331948
Name:ROBERT OLSEN MD WASHINGTON PC
Entity type:Organization
Organization Name:ROBERT OLSEN MD WASHINGTON PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-506-2513
Mailing Address - Street 1:9895 SE SUNNYSIDE RD STE F
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-9745
Mailing Address - Country:US
Mailing Address - Phone:443-506-2513
Mailing Address - Fax:
Practice Address - Street 1:1123 W COURT ST
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-4158
Practice Address - Country:US
Practice Address - Phone:971-300-0654
Practice Address - Fax:720-881-9063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty