Roger Olsen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00019693 Issued in WA

Practice address

840 N 5TH Ave
Ste 2100
Sequim, WA 98382-3045

Phone

(360) 582-2850

Fax

(360) 582-2851

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1295789659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N 5TH AVE",
            "address_2": "STE 2100",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823045",
            "telephone_number": "360-582-2850",
            "fax_number": "360-582-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N 5TH AVE",
            "address_2": "STE 2100",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823045",
            "telephone_number": "360-582-2850",
            "fax_number": "360-582-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00019693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8319204",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0158210",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Paige O'Connor-Perrino, LMP
• Jerome R Oakes, M.D.
• Nathan Oberg, PHARM. D.
• Elizabeth Olinger, NP
• Kari Devick Olsen, MD
• Arica Rae Olson, LAC, LMP
• Olympic Ambulance Service Inc.
• Olympic Ambulance Service Inc.
• Olympic Family Healing and Wound Care PLLC
• Olympic Hearing Center PC

• Family Medicine Physician in Sequim, WA
• Providers in Sequim, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.