Provider Demographics
NPI:1629874136
Name:OLSEN, ALLISON GRACE (NP)
Entity type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:GRACE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18406 SE 37TH CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-8240
Mailing Address - Country:US
Mailing Address - Phone:360-953-1484
Mailing Address - Fax:
Practice Address - Street 1:18406 SE 37TH CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-8240
Practice Address - Country:US
Practice Address - Phone:360-953-1484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61650452363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health