Kryzia Nicole Santos Olsen, ND, LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

4101 Issued in OR

Practice address

335 NE Revere Ave
Bend, OR 97701-4059

Phone

(503) 738-1535

Fax

(855) 461-3309

NPI assigned

Sep 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1356850150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NE REVERE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014059",
            "telephone_number": "503-738-1535",
            "fax_number": "855-461-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NE REVERE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014059",
            "telephone_number": "503-738-1535",
            "fax_number": "855-461-3309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 NW Flanders St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103400",
            "country_code": "US",
            "telephone_number": "503-701-8766 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KRYZIA",
        "middle_name": "NICOLE SANTOS",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC184850",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brienne M Oliver, RN
• Elysia Oliver, LPC, LCPC
• Kay Oliver, RN, P/MHNP
• Andrea Hope Olsen, CADC-I
• Keith Curtis Olsen, MD/PHD
• Olson Chiropractic Wellness Center
• Amanda J Olson, M.S., CCC-SLP
• Crystal Olson, LMT, MMP
• Scott Chambers Olson, M.D.
• Scott Vincent Olson, DC

• Naturopath in Bend, OR
• Providers in Bend, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.