Provider Demographics
NPI:1427761253
Name:NORLANDER, OLAF OSKAR
Entity type:Individual
Prefix:
First Name:OLAF
Middle Name:OSKAR
Last Name:NORLANDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:OSKAR
Other - Middle Name:
Other - Last Name:NORLANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1864 EMERALD LAKE WAY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-7837
Mailing Address - Country:US
Mailing Address - Phone:360-207-0418
Mailing Address - Fax:
Practice Address - Street 1:4350 CORDATA PKWY STE 102
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8278
Practice Address - Country:US
Practice Address - Phone:360-922-6977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health