Donald R Olson, MD, Facs, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD14697 Issued in OR

Legal business name

DONALD R OLSON, MD, FACS, LLC

Practice address

6464 SW Borland Rd
Suite A2
Tualatin, OR 97062-8876

Phone

(503) 885-1188

Fax

(503) 885-1180

NPI assigned

Jul 9, 2009

Organization subpart

No

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

Authorized official

Name

Beth Ann Painert

Title

Office Manager

Phone

(503) 885-1188

Specialties & licenses 1

Addresses

Other names 1

• DONALD OLSON, MD, FACS Doing business as

Locations

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1457580623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD",
            "address_2": "SUITE A2",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628876",
            "telephone_number": "503-885-1188",
            "fax_number": "503-885-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD",
            "address_2": "SUITE A2",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628876",
            "telephone_number": "503-885-1188",
            "fax_number": "503-885-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R OLSON, MD, FACS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "PAINERT",
        "authorized_official_first_name": "BETH ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-885-1188"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD14697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DONALD OLSON, MD, FACS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.