Richard Olaveson

NPI #1164399689 in Idaho Falls, Idaho

Provider Information

NPI Number: 1164399689
Entity Type: Individual
Name: Richard Olaveson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 20, 2025
Last Updated: Oct 20, 2025

Practice Location

Address: 1904 JENNIE LEE DR
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6159
Phone: (208) 974-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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