Kevin Donald Olson, M.D.

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

MD17386 Issued in OR

Practice address

19260 SW 65TH Ave
Ste 435
Tualatin, OR 97062-7707

Phone

(503) 692-2032

Fax

(503) 692-4450

NPI assigned

May 24, 2005

Last updated

Dec 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Credena Health LLC

  dba Credena Health Pharmacy Cherry Hill

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1982342226
  NPD (past)
• Northwest Cancer Specialists PC

  dba Compass Oncology

  • Hematology & Oncology Physician
  • Vancouver, WA
  • NPI 1407828114
  NPD (past)
• Northwest Cancer Specialists PC

  dba Compass Oncology Pharmacy

  • Specialty Pharmacy
  • Vancouver, WA
  • NPI 1770939019
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1407859184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "STE 435",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627707",
            "telephone_number": "503-692-2032",
            "fax_number": "503-692-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE",
            "address_2": "STE 435",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627707",
            "telephone_number": "503-692-2032",
            "fax_number": "503-692-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KEVIN",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "OR",
            "license": "MD17386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072780",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006586",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NW Physical Therapy Specialists
• Occupational Orthopedics LLC
• Warren Ikpomosa Okuns, M.D.
• Andrea C Olmstead, MD
• Kassandra Olsen, PTA, LMT
• Oncology Physicians Network of Oregon LLC
• Or Krew, LLC (Comfort Keepers)
• Oregon City Medical NW, Inc (Tualatin Family Medicine)
• Oregon Clinic, PC (The Oregon Clinic Endoscopy Center - Tualatin)
• Oregon Department of Corrections

• Hematology (Internal Medicine) Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Hematology (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.