| Dr. Brian R. Oleson | |
|
N. 68 Lake Cushman Rd. Hoodsport WA 98548-0817 | |
| (360) 877-5151 | |
| (360) 877-5134 |
| Full Name | Dr. Brian R. Oleson |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | N. 68 Lake Cushman Rd., Hoodsport, Washington |
| Authorized Official Name and Position | Brian R. Oleson (OWNER) |
| Authorized Official Contact | 3608775151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Brian R. Oleson Po Box 817 Hoodsport WA 98548-0817 Ph: (360) 877-5151 | Dr. Brian R. Oleson N. 68 Lake Cushman Rd. Hoodsport WA 98548-0817 Ph: (360) 877-5151 |
| NPI Number | 1790902542 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790902542 | NPI | - | NPPES |
| 5042403 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00005463 (Washington) | Primary |
Hood Canal Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 N Lake Cushman Road, Hoodsport, WA 98548 Phone: 360-878-5151 Fax: 206-400-5997 | |
Integrity Sleep Solution Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 N Lake Cushman Road, Hoodsport, WA 98548 Phone: 360-878-5151 Fax: 206-400-5997 |