Dr Mark Warren Olson, MD | |
1160 Wallace Rd Nw, Salem, OR 97304-3116 | |
(503) 361-5400 | |
(503) 361-5401 |
Full Name | Dr Mark Warren Olson |
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Gender | Male |
Speciality | Family Medicine |
Location | 1160 Wallace Rd Nw, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043392012 | NPI | - | NPPES |
23416-1 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OR MD09591 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Warren Olson, MD 8750 Oak Grove Rd, Rickreall, OR 97371-9766 Ph: (503) 835-4001 | Dr Mark Warren Olson, MD 1160 Wallace Rd Nw, Salem, OR 97304-3116 Ph: (503) 361-5400 |
Dr. Volodymyr Y. Dovhyy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1165 Union St Ne, Salem, OR 97301 Phone: 503-399-2424 | |
Dr. Bethany Wohletz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1160 Wallace Rd Nw, Salem, OR 97304 Phone: 503-304-5716 Fax: 503-304-5719 | |
Samantha Easterly, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2020 Capitol St Ne, Salem, OR 97301 Phone: 503-399-2424 Fax: 503-375-7451 | |
Rosamund M Irwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Center St Ne, Salem, OR 97301 Phone: 503-945-2800 | |
Jack Buchanan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem Hospital Urgent Care Center, Salem, OR 97301 Phone: 503-561-5554 | |
Dr. Quincy Enyioma John, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-814-1879 | |
Shwetha R Gurram, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 966 12th St Se Ste 130, Salem, OR 97302 Phone: 503-814-4400 |