Provider Demographics
NPI:1144485491
Name:OLYAEI, JANE CHRISTINE (BSPHARM)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:CHRISTINE
Last Name:OLYAEI
Suffix:
Gender:F
Credentials:BSPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30299 SW BOONES FERRY RD
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-7844
Mailing Address - Country:US
Mailing Address - Phone:503-682-4435
Mailing Address - Fax:503-570-2799
Practice Address - Street 1:30299 SW BOONES FERRY RD
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-7844
Practice Address - Country:US
Practice Address - Phone:503-682-4435
Practice Address - Fax:503-570-2799
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0008691183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist