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Deactivated NPI 1396868717 Deactivated / Inactive NPI Female Practitioner

Vada Yvonne Olson , DENTURIST

Denturist • Salem, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Vada Olson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 09, 2007
NPI Deactivation Date November 01, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Vada Olson, DENTURIST was a registered Denturist practicing in Salem, OR. Throughout an active medical career spanning 16 years, Vada Olson provided care at the practice location at 4557 POINSETTIA ST NE until profile deactivation on 2023-11-01.

Practice Location & Contact Primary Location

Practice Address

4557 Poinsettia St Ne

Salem, OR 973059506

Telephone 5035514039

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Salem, OR (139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License OR DTDO628734

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2023

Denturist (License #DTDO628734 in OR)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 4557 POINSETTIA ST NE, SALEM, OR 973059506 (Tel: 5035514039)

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Updated Business Mailing Address July 09, 2007

Registered at 4557 POINSETTIA ST NE, SALEM, OR 973059506 (Tel: 5035514039)

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Provider Name / Credentials Updated July 09, 2007

Recorded as VADA OLSON, DENTURIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Denturist (License #DTDO628734 in OR)

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Initial NPI Registration & Enumeration April 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396868717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2007
Last Update: July 09, 2007
Deactivation Date: November 01, 2023

Mailing Address

4557 Poinsettia St Ne

Salem, OR 973059506

Phone: 5035514039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.