Michael S Olson, PA-C
Physician Assistant, Medical in Washington, DC. Individual provider (NPI-1).
NPI number1285908095
StatusActive
Last updated in NPPESNov 15, 2022
Details
- NPI
- 1285908095
- Entity type
- Individual (NPI-1)
- Name
- Michael S Olson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2012
- Certification date
- Nov 15, 2022
- Last updated
- Nov 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA200001329 | DC | Yes |
| 363A00000X | Physician Assistant | 0110008374 | VA | |
| 363AM0700X | Physician Assistant, Medical | 52529 | CA | |
| 363AM0700X | Physician Assistant, Medical | AMD-449 | HI |
Practice location
900 23rd St NwWashington, DC 20037-2342
Phone 202-715-4000
Mailing address
101 Gracie Park DrHerndon, VA 20170-6225
Phone 808-354-1939
Other practice locations
797 S Fair Oaks Ave
Pasadena, CA 91105-2617
Pasadena, CA 91105-2617
Phone 626-795-2244
1488 Northpoint Village Ctr
Reston, VA 20194-1190
Reston, VA 20194-1190
Phone 571-525-5850 · Fax 571-525-5851
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