DR. MICHAEL L OLSON (NPI# 1306919287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306919287 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL L OLSON |
| Credential | PH D |
| Practice Address |
5108 196th St Sw Ste 208 Lynnwood WA 98036-6152 |
| Practice Telephone | 2063877100 |
| Practice Fax Number | 4256706578 |
| Mailing Telephone | 2063877100 |
| Mailing Fax Number | 4256706578 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1263 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316500135 | Michael Kennan Olson | Behavior Technician | 17260 Highlander Rd, Ramona, CA 92065-6975 | 2019-04-17 |
| 1053767426 | Michael Olson | Specialist/Technologist | Jim Jarrett Athletic Admin Building, Norfolk, VA 23529-0001 | 2016-05-04 |
| 1205023496 | Michael John Olson | Dentist | 536 Kingwood Dr, Kingwood, TX 77339-4473 | 2007-10-01 |
| 1407998487 | Michael Olson | Chiropractor | 307 Cascade Street, Osceola, WI 54020-0068 | 2007-02-13 |
| 1982613204 | Michael Neal Olson | Physical Therapist | 452 E El Camino Real, Sunnyvale, CA 94087-1938 | 2006-08-05 |
| 1780203992 | Michael Olson | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2020-04-09 |
| 1902438492 | Michael Anthony Olson | Behavior Technician | 5333 Mission Center Rd Ste 110, San Diego, CA 92108-1347 | 2020-02-12 |
| 1659859197 | Michael Ford Olson | Physical Therapist | 500 Villa Rd, Newberg, OR 97132-1860 | 2018-08-06 |
| 1275026551 | Michael Olson | Chiropractor | 205 Sheyenne St Ste 3, West Fargo, ND 58078-1752 | 2018-06-11 |
| 1932549458 | Michael Current Olson | Radiology | 200 1st St Sw, Rochester, MN 55905 | 2013-06-28 |
| Street Address |
5108 196TH ST SW STE 208 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073060729 | Community Health Acupuncture and Wellness Center | Preferred Provider Organization | 5108 196th St Sw Ste 208, Lynnwood, WA 98036-6152 | 2016-09-09 |
| 1902052640 | Joy Lynne Graves | Marriage & Family Therapist | 5108 196th St Sw Ste 208, Lynnwood, WA 98036-6152 | 2008-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578886644 | Jan M Bestwick | Psychologist | 3322 164th St Sw, Lynnwood, WA 98087-3238 | 2010-03-03 |
| 1205056439 | Kathleen Mary Matkoski | Psychologist | 19221 36th Avenue W., Suite 207, Lynnwood, WA 98036 | 2007-04-30 |
| 1306917679 | William C Heusler | Psychologist | 19221 36th Ave W, Ste 208, Lynnwood, WA 98036-5795 | 2006-11-10 |
| 1134372683 | Crystal Gray | Psychologist | 5105 200th St Sw, Suite 100, Lynnwood, WA 98036-6397 | 2008-10-28 |
| 1396920013 | Jill Elaine Rosenthal | Psychologist | 20006 Cedar Valley Rd, Suite 101, Lynnwood, WA 98036-6334 | 2007-12-31 |
| 1497964027 | Alderwood Psychological Services, Inc. | Psychologist | 19221 36th Ave W, Suite 207, Lynnwood, WA 98036-5796 | 2007-05-21 |
| 1285722850 | Barry Franklin Moss | Psychologist | 5108 196th St Sw, Suite 102, Lynnwood, WA 98036-6152 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841442 | Jeanette Lee Chong | Psychologist | 2112 3rd Ave N Unit C, Seattle, WA 98109-2304 | 2020-11-04 |
| 1972103026 | River City Tms, Pllc | Psychologist | 400 S Jefferson St Ste 118, Spokane, WA 99204-3142 | 2020-10-28 |
| 1902411366 | Shanna Drinkwine | Psychologist | 1993 Governor Rd, Bellingham, WA 98229-3413 | 2020-09-12 |
| 1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
| 1487263711 | Tiffany Mohr | Psychologist | 927 College Ln Ne Unit B, Lacey, WA 98516-3740 | 2020-07-22 |
| 1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
| 1295355923 | Douglas M Wear | Psychologist | 5802 16th Ave Ne, Seattle, WA 98105-2517 | 2020-04-22 |
| 1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
| 1447887427 | Kitsap Peninsula Ocd & Anxiety Services Pllc | Psychologist | 9226 Bay Shore Dr Nw Ste 204, Silverdale, WA 98383-9196 | 2020-03-27 |
| 1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.