Eric G Olson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ERIC G OLSON, MD

Practice address

21 Hayden Bridge Way
Springfield, OR 97477-1305

Phone

(541) 600-2017

Fax

(541) 225-4864

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Eric Olson, MD

Title

Provider

Phone

(541) 600-2017

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1407912611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10605",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974402605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HAYDEN BRIDGE WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771305",
            "telephone_number": "541-600-2017",
            "fax_number": "541-225-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC G OLSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "541-600-2017",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060285",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "MD11826",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Jay Epperson, PA-C
• Matthew David Epperson, DMD, MSD
• Mark Lewis Epstein, M.D.
• Alison Joan Erde, MD
• Eric a Spencer MD PC
• Daniel Erichsen, M.D.
• Catherine M. Erickson, RN
• Miranda Elaine Erickson, BFA
• Jennifer Ashley Ericson, AGACNP-BG
• Erinn Kelley Thompson Ernst

• Dermatology Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.