Provider Demographics
NPI:1285780395
Name:OLAR, GEORGE ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ROBERT
Last Name:OLAR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:PROF
Other - First Name:360
Other - Middle Name:
Other - Last Name:CHIROPRACTIC PS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 8310
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98509-8310
Mailing Address - Country:US
Mailing Address - Phone:360-923-0360
Mailing Address - Fax:360-923-1360
Practice Address - Street 1:5101 LACEY BLVD SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-2441
Practice Address - Country:US
Practice Address - Phone:360-923-0360
Practice Address - Fax:360-923-1360
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor