Provider Demographics
NPI:1235925132
Name:OLSON, MELISSA JEAN (THW)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:JEAN
Last Name:OLSON
Suffix:
Gender:F
Credentials:THW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 GIBBON RD
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-3323
Mailing Address - Country:US
Mailing Address - Phone:458-220-8669
Mailing Address - Fax:
Practice Address - Street 1:438 GIBBON RD
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-3323
Practice Address - Country:US
Practice Address - Phone:458-220-8669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR113427374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula