Provider Demographics
NPI:1114184843
Name:OLSON, ERIKA LANE
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LANE
Last Name:OLSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W HOLLY ST
Mailing Address - Street 2:M6
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4358
Mailing Address - Country:US
Mailing Address - Phone:360-738-2288
Mailing Address - Fax:360-715-8574
Practice Address - Street 1:301 W HOLLY ST
Practice Address - Street 2:M6
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4358
Practice Address - Country:US
Practice Address - Phone:360-738-2288
Practice Address - Fax:360-715-8574
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist