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Olivia Shea Anderson

Student in an Organized Health Care Education/Training Program in Lebanon, OR. Individual provider (NPI-1).

NPI number1386103604
StatusActive
Last updated in NPPESDec 27, 2021

Details

NPI
1386103604
Entity type
Individual (NPI-1)
Name
Olivia Shea Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 16, 2019
Certification date
Dec 27, 2021
Last updated
Dec 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

200 Mullins Dr
Lebanon, OR 97355-3983

Phone 541-259-0235

Mailing address

200 Mullins Dr
Lebanon, OR 97355-3983

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Other Student in an Organized Health Care Education/Training Program providers in Lebanon, OR

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