Provider Demographics
NPI:1740292986
Name:OLESKOWICZ, JEANETTE HELEN (MD)
Entity type:Individual
Prefix:DR
First Name:JEANETTE
Middle Name:HELEN
Last Name:OLESKOWICZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JEANETTE
Other - Middle Name:HELEN
Other - Last Name:OLESKOWICZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:913 NW GARDEN VALLEY BLVD
Mailing Address - Street 2:VA MEDICAL CENTER, MENTAL HEALTH SERVICES
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-6523
Mailing Address - Country:US
Mailing Address - Phone:541-440-1000
Mailing Address - Fax:
Practice Address - Street 1:2515 NW EDENBOWER BLVD
Practice Address - Street 2:APT. 20
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-8855
Practice Address - Country:US
Practice Address - Phone:541-440-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ248372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry