Provider Demographics
NPI:1669357034
Name:KOELSCH, OLIVIA ELLEN
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ELLEN
Last Name:KOELSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 STEAMBOAT ISLAND RD NW # 402
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4876
Mailing Address - Country:US
Mailing Address - Phone:360-789-9869
Mailing Address - Fax:
Practice Address - Street 1:3403 STEAMBOAT ISLAND RD NW # 402
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4876
Practice Address - Country:US
Practice Address - Phone:360-789-9869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator