Provider Demographics
NPI:1053294959
Name:OLSEN, LAUREN BRIGID MARIE (OTR)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:BRIGID MARIE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12305 53RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-9221
Mailing Address - Country:US
Mailing Address - Phone:425-244-8622
Mailing Address - Fax:
Practice Address - Street 1:22122 20TH AVE SE STE H-158
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-4433
Practice Address - Country:US
Practice Address - Phone:425-476-1208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist