Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ray Brock Olson, PA

Individual provider Physician Assistant · NPI 1033776562

Ray Brock Olson, PA is a Physician Assistant in North Logan, Utah. Qualified in 2019, 7 years ago. Practices with Cache Valley Ear Nose and Throat, PLLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2245 N 400 E Ste 301
North Logan, UT 84341-1892
Phone: (435) 753-7880
Fax: (435) 359-4507
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 736 Irving Ave, Syracuse, NY 13210-1690 — (315) 470-7411

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1033776562
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 20, 2019
Last updated in NPPESJune 24, 2022
Certification dateJune 18, 2022
Mailing address2245 N 400 E, Ste 301, North Logan, UT 84341-1892

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cache Valley Ear Nose And Throat, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in North Logan