Provider Demographics
NPI:1891917654
Name:OLSHOVE, CHRISTENE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTENE
Middle Name:MARIE
Last Name:OLSHOVE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2138 NE 112TH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-1801
Mailing Address - Country:US
Mailing Address - Phone:503-254-3131
Mailing Address - Fax:
Practice Address - Street 1:2138 NE 112TH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-1801
Practice Address - Country:US
Practice Address - Phone:503-254-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor