Provider Demographics
NPI:1013128230
Name:OLIVEN, STEVEN RAY
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:RAY
Last Name:OLIVEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 S MOORE AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-6043
Mailing Address - Country:US
Mailing Address - Phone:405-739-0144
Mailing Address - Fax:
Practice Address - Street 1:1100 S MOORE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-6043
Practice Address - Country:US
Practice Address - Phone:405-739-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator